Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $48.40 / $78.36	Professional		$32.71	$48.40	$78.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.12 / $91.67 / $151.79	Professional		$61.12	$91.67	$151.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $71.11 / $172.70	Professional		$33.94	$71.11	$172.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.40 / $81.80 / $131.63	Facility		$48.40	$81.80	$131.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $112.28 / $514.16	Professional		$59.84	$112.28	$514.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $91.67 / $135.16	Facility		$74.00	$91.67	$135.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $91.67 / $141.96	Professional		$68.22	$91.67	$141.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $67.88 / $117.35	Professional		$36.86	$67.88	$117.35
United Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $110.58 / $158.88	Professional		$58.26	$110.58	$158.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.40 / $89.80 / $141.30	Professional		$73.40	$89.80	$141.30