Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $49.27 / $166.49	Professional		$33.11	$49.27	$166.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $75.59 / $147.07	Professional		$64.70	$75.59	$147.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.83 / $79.13 / $107.06	Professional		$58.83	$79.13	$107.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $42.05 / $64.51 / $83.27	Facility		$42.05	$64.51	$83.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $39.71 / $202.07	Professional		$29.08	$39.71	$202.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $64.51 / $75.59 / $123.64	Facility		$64.51	$75.59	$123.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $76.48 / $147.07	Professional		$64.51	$76.48	$147.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $113.70	Professional		$93.50	$93.50	$113.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $29.35 / $50.38	Professional		$28.03	$29.35	$50.38
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $52.95 / $52.95 / $52.95	Facility		$52.95	$52.95	$52.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $41.83 / $52.95 / $52.95	Professional		$41.83	$52.95	$52.95