Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.94 / $51.27 / $74.84	Professional		$37.94	$51.27	$74.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $78.06 / $144.22	Professional		$49.49	$78.06	$144.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $74.90 / $158.88	Professional		$53.61	$74.90	$158.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.71 / $55.11 / $261.89	Facility		$36.71	$55.11	$261.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $135.11 / $448.02	Professional		$66.00	$135.11	$448.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.95 / $109.79 / $124.89	Facility		$87.95	$109.79	$124.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.41 / $115.29 / $177.70	Professional		$87.41	$115.29	$177.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.03 / $76.94 / $123.84	Professional		$52.03	$76.94	$123.84
United Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $77.13 / $161.97	Professional		$40.50	$77.13	$161.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.41 / $86.60 / $107.70	Professional		$68.41	$86.60	$107.70