Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $112.20	Professional		$41.69	$56.23	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $95.50 / $120.23	Professional		$50.12	$95.50	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $70.79 / $151.36	Professional		$40.74	$70.79	$151.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $79.43 / $346.74	Professional		$54.95	$79.43	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $131.83	Professional		$74.13	$107.15	$131.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $131.83 / $199.53	Professional		$83.18	$131.83	$199.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $114.82	Professional		$52.48	$69.18	$114.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $58.88 / $69.18	Professional		$46.77	$58.88	$69.18