Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $32.27 / $51.84	Professional		$21.56	$32.27	$51.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.66 / $87.05 / $163.16	Professional		$56.66	$87.05	$163.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $55.59 / $118.69	Professional		$37.04	$55.59	$118.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $42.30 / $80.50	Facility		$26.37	$42.30	$80.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $50.83 / $88.30 / $321.17	Professional		$50.83	$88.30	$321.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $61.62 / $79.58 / $104.79	Facility		$61.62	$79.58	$104.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.75 / $80.15 / $109.95	Professional		$55.75	$80.15	$109.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $49.41 / $50.69 / $68.70	Professional		$49.41	$50.69	$68.70
United Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $68.41 / $103.82	Professional		$48.22	$68.41	$103.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $51.50 / $61.30 / $77.59	Professional		$51.50	$61.30	$77.59