Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $31.01 / $165.73	Professional		$24.71	$31.01	$165.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $68.68 / $84.62	Professional		$58.38	$68.68	$84.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.73 / $40.69 / $100.00	Professional		$28.73	$40.69	$100.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.25 / $51.59 / $264.97	Facility		$28.25	$51.59	$264.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $53.47 / $194.73	Professional		$28.55	$53.47	$194.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $56.73 / $76.09	Facility		$38.00	$56.73	$76.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $54.07 / $76.09	Professional		$35.00	$54.07	$76.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $50.70 / $62.48	Professional		$28.47	$50.70	$62.48
United Facility/Professional Professional Modifier Low / Median / High Price $28.44 / $44.77 / $74.05	Professional		$28.44	$44.77	$74.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.80 / $60.50 / $71.20	Professional		$47.80	$60.50	$71.20