Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $60.26	Professional		$28.18	$34.67	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $85.11	Professional		$28.18	$51.29	$85.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $123.03	Professional		$39.81	$53.70	$123.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $44.67 / $204.17	Facility		$32.36	$44.67	$204.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $81.28 / $323.59	Professional		$44.67	$81.28	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $91.20 / $128.82	Professional		$64.57	$91.20	$128.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $64.57 / $74.13	Professional		$50.12	$64.57	$74.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $51.29 / $89.13	Professional		$38.02	$51.29	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.71 / $125.89	Professional		$38.02	$45.71	$125.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $50.12 / $58.88	Professional		$41.69	$50.12	$58.88