Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.27 / $40.03 / $202.49	Professional		$30.27	$40.03	$202.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $54.84 / $76.87	Professional		$43.88	$54.84	$76.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $33.46 / $39.36 / $108.00	Professional		$33.46	$39.36	$108.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.45 / $62.18 / $89.52	Facility		$39.45	$62.18	$89.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $68.77 / $219.30	Professional		$43.34	$68.77	$219.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $52.11 / $62.01 / $94.12	Facility		$52.11	$62.01	$94.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $50.21 / $62.01 / $95.30	Professional		$50.21	$62.01	$95.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $69.40 / $94.40	Professional		$66.50	$69.40	$94.40
United Facility/Professional Professional Modifier Low / Median / High Price $41.46 / $60.30 / $102.52	Professional		$41.46	$60.30	$102.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $49.10 / $59.50	Professional		$45.58	$49.10	$59.50