Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.26 / $39.90 / $61.09	Professional		$20.26	$39.90	$61.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $48.04 / $100.33	Professional		$30.00	$48.04	$100.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $39.42 / $74.40	Professional		$20.36	$39.42	$74.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $48.04 / $89.80	Facility		$23.23	$48.04	$89.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $101.15 / $278.14	Professional		$46.94	$101.15	$278.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $48.04 / $79.58 / $100.33	Facility		$48.04	$79.58	$100.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $82.68 / $110.49	Professional		$48.04	$82.68	$110.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $23.84 / $43.91 / $75.79	Professional		$23.84	$43.91	$75.79
United Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $71.78 / $122.02	Professional		$43.69	$71.78	$122.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $38.10 / $46.60 / $80.59	Professional		$38.10	$46.60	$80.59