Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $51.79 / $58.61	Professional		$41.21	$51.79	$58.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.31 / $73.31 / $73.31	Professional		$73.31	$73.31	$73.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.88 / $185.75 / $205.09	Professional		$178.88	$185.75	$205.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.79 / $66.76 / $126.80	Facility		$51.79	$66.76	$126.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.01 / $174.51 / $367.45	Professional		$82.01	$174.51	$367.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.54 / $99.54 / $126.80	Facility		$72.54	$99.54	$126.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $102.75 / $131.16	Professional		$77.39	$102.75	$131.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.70 / $72.70 / $72.70	Professional		$72.70	$72.70	$72.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $114.79 / $145.30 / $145.30	Professional		$114.79	$145.30	$145.30