Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $58.49 / $86.97	Professional		$46.22	$58.49	$86.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.50 / $122.00 / $173.03	Professional		$81.50	$122.00	$173.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $66.54 / $152.80	Professional		$52.34	$66.54	$152.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.50 / $76.73 / $121.59	Facility		$59.50	$76.73	$121.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $88.17 / $1,114.04	Professional		$53.20	$88.17	$1,114.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.13 / $88.76 / $170.23	Facility		$85.13	$88.76	$170.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.02 / $119.63 / $170.23	Professional		$82.02	$119.63	$170.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $57.23 / $92.49	Professional		$48.84	$57.23	$92.49
United Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $73.98 / $148.63	Professional		$50.00	$73.98	$148.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.50 / $95.40 / $112.20	Professional		$91.50	$95.40	$112.20