Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.73 / $30.23 / $46.82	Professional		$22.73	$30.23	$46.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.71 / $48.39 / $90.07	Professional		$32.71	$48.39	$90.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $31.83 / $47.24 / $103.86	Professional		$31.83	$47.24	$103.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $21.97 / $35.01 / $155.94	Facility		$21.97	$35.01	$155.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $85.36 / $279.82	Professional		$41.55	$85.36	$279.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.65 / $68.44 / $78.22	Facility		$52.65	$68.44	$78.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.49 / $71.29 / $111.35	Professional		$54.49	$71.29	$111.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $31.18 / $47.32 / $77.54	Professional		$31.18	$47.32	$77.54
United Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $49.51 / $101.04	Professional		$39.29	$49.51	$101.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $40.76 / $52.40 / $68.09	Professional		$40.76	$52.40	$68.09