Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $35.29 / $60.92	Professional		$28.47	$35.29	$60.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $72.75 / $104.88	Professional		$44.77	$72.75	$104.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.72 / $53.38 / $122.25	Professional		$42.72	$53.38	$122.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $43.67 / $205.87	Facility		$31.75	$43.67	$205.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $73.48 / $325.83	Professional		$44.17	$73.48	$325.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.86 / $80.79 / $90.88	Facility		$69.86	$80.79	$90.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $81.79 / $128.00	Professional		$58.45	$81.79	$128.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $52.28 / $86.68	Professional		$37.90	$52.28	$86.68
United Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $50.96 / $100.00	Professional		$44.17	$50.96	$100.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $50.50 / $59.40	Professional		$41.90	$50.50	$59.40