Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $30.39 / $46.04	Professional		$23.79	$30.39	$46.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $62.24 / $86.51	Professional		$42.00	$62.24	$86.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $26.36 / $33.68 / $86.05	Professional		$26.36	$33.68	$86.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.75 / $39.17 / $60.75	Facility		$29.75	$39.17	$60.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $45.82 / $742.70	Professional		$27.79	$45.82	$742.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $46.19 / $85.10	Facility		$43.02	$46.19	$85.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $61.25 / $85.10	Professional		$42.12	$61.25	$85.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $30.10 / $48.45	Professional		$25.00	$30.10	$48.45
United Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $38.17 / $73.36	Professional		$25.43	$38.17	$73.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $49.60 / $58.40	Professional		$46.20	$49.60	$58.40