Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $74.13	Professional		$38.02	$52.48	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $144.54	Professional		$48.98	$85.11	$144.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $87.10 / $162.18	Professional		$50.12	$87.10	$162.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $56.23 / $263.03	Facility		$36.31	$56.23	$263.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $134.90 / $446.68	Professional		$66.07	$134.90	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $177.83	Professional		$87.10	$125.89	$177.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $100.00	Professional		$77.62	$87.10	$100.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $81.28 / $128.82	Professional		$52.48	$81.28	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $77.62 / $162.18	Professional		$40.74	$77.62	$162.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $87.10 / $107.15	Professional		$69.18	$87.10	$107.15