Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $65.65 / $91.34	Professional		$55.69	$65.65	$91.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $131.07 / $199.01	Professional		$50.00	$131.07	$199.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.47 / $74.12 / $185.27	Professional		$53.47	$74.12	$185.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $57.26 / $85.62 / $149.12	Facility		$57.26	$85.62	$149.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $131.94 / $417.96	Professional		$52.54	$131.94	$417.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $139.80 / $163.98	Facility		$123.92	$139.80	$163.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.60 / $145.10 / $170.08	Professional		$117.60	$145.10	$170.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $64.93 / $128.31	Professional		$50.54	$64.93	$128.31
United Facility/Professional Professional Modifier Low / Median / High Price $51.25 / $89.57 / $179.14	Professional		$51.25	$89.57	$179.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $87.80 / $103.30	Professional		$76.90	$87.80	$103.30