Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.49 / $45.97 / $158.37	Professional		$31.49	$45.97	$158.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.72 / $63.75 / $79.69	Professional		$58.72	$63.75	$79.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.11 / $54.89 / $99.35	Professional		$44.11	$54.89	$99.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $37.50 / $58.97 / $72.36	Facility		$37.50	$58.97	$72.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $26.85 / $35.04 / $141.86	Professional		$26.85	$35.04	$141.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $54.66 / $60.38 / $78.98	Facility		$54.66	$60.38	$78.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $62.74 / $90.22	Professional		$48.63	$62.74	$90.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $82.50 / $108.10	Professional		$41.00	$82.50	$108.10
United Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $27.38 / $47.01	Professional		$26.06	$27.38	$47.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $49.40 / $49.40 / $49.40	Facility		$49.40	$49.40	$49.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $39.03 / $49.40 / $49.40	Professional		$39.03	$49.40	$49.40