Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $59.87 / $65.09	Professional		$48.80	$59.87	$65.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.95 / $91.22 / $147.08	Professional		$55.95	$91.22	$147.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $63.86 / $115.20	Professional		$50.87	$63.86	$115.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $59.87 / $78.73 / $137.10	Facility		$59.87	$78.73	$137.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $109.98 / $377.52	Professional		$69.20	$109.98	$377.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $108.07 / $149.52	Facility		$81.36	$108.07	$149.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.36 / $108.07 / $149.52	Professional		$81.36	$108.07	$149.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.94 / $94.78 / $116.56	Professional		$53.94	$94.78	$116.56
United Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $85.36 / $146.08	Professional		$65.78	$85.36	$146.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.42 / $94.20 / $110.80	Professional		$74.42	$94.20	$110.80