Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $71.83 / $374.89	Professional		$56.76	$71.83	$374.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $97.97 / $134.51	Professional		$78.38	$97.97	$134.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $69.65 / $189.00	Professional		$59.20	$69.65	$189.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.20 / $115.16 / $159.19	Facility		$71.20	$115.16	$159.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.18 / $126.50 / $393.93	Professional		$80.18	$126.50	$393.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $92.23 / $115.16 / $167.31	Facility		$92.23	$115.16	$167.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.60 / $115.16 / $176.98	Professional		$88.60	$115.16	$176.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $122.40 / $174.20	Professional		$78.70	$122.40	$174.20
United Facility/Professional Professional Modifier Low / Median / High Price $76.69 / $111.55 / $187.55	Professional		$76.69	$111.55	$187.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $86.90 / $105.30	Professional		$80.73	$86.90	$105.30