Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $44.67 / $114.82	Professional		$30.90	$44.67	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $138.04	Professional		$70.79	$87.10	$138.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $47.86 / $234.42	Professional		$28.18	$47.86	$234.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $112.20 / $346.74	Professional		$74.13	$112.20	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $120.23	Professional		$79.43	$109.65	$120.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $138.04	Professional		$100.00	$138.04	$138.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $33.88 / $67.61	Professional		$3.09	$33.88	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $102.33 / $154.88	Professional		$54.95	$102.33	$154.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $77.62	Professional		$66.07	$66.07	$77.62