Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $67.54 / $97.69	Professional		$38.15	$67.54	$97.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $98.25 / $183.65	Professional		$51.36	$98.25	$183.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.42 / $66.79 / $133.57	Professional		$45.42	$66.79	$133.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $74.72 / $160.78	Facility		$35.17	$74.72	$160.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $80.41 / $158.93	Professional		$41.57	$80.41	$158.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $98.25 / $163.87	Facility		$57.00	$98.25	$163.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.20 / $98.25 / $183.65	Professional		$47.20	$98.25	$183.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $127.34 / $145.51	Professional		$71.34	$127.34	$145.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $81.67 / $138.12	Professional		$46.22	$81.67	$138.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $136.19 / $141.60	Professional		$107.60	$136.19	$141.60