Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $60.00 / $82.39	Professional		$45.66	$60.00	$82.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $92.77 / $172.83	Professional		$56.62	$92.77	$172.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.91 / $88.23 / $182.74	Professional		$63.91	$88.23	$182.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.47 / $63.91 / $311.83	Facility		$43.47	$63.91	$311.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.68 / $161.66 / $530.76	Professional		$75.68	$161.66	$530.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $131.24 / $149.26	Facility		$105.67	$131.24	$149.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $139.31 / $209.47	Professional		$104.49	$139.31	$209.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $90.58 / $145.22	Professional		$61.05	$90.58	$145.22
United Facility/Professional Professional Modifier Low / Median / High Price $46.50 / $79.34 / $192.95	Professional		$46.50	$79.34	$192.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $103.20 / $126.70	Professional		$81.53	$103.20	$126.70