Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.47 / $48.37 / $70.84	Professional		$26.47	$48.37	$70.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $75.94 / $133.56	Professional		$50.89	$75.94	$133.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $57.45 / $144.19	Professional		$34.50	$57.45	$144.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.29 / $64.56 / $124.89	Facility		$35.29	$64.56	$124.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.30 / $133.56 / $383.65	Professional		$72.30	$133.56	$383.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $82.97 / $138.41	Facility		$53.85	$82.97	$138.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $53.85 / $87.49 / $133.56	Professional		$53.85	$87.49	$133.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $61.71 / $105.26	Professional		$35.36	$61.71	$105.26
United Facility/Professional Professional Modifier Low / Median / High Price $70.01 / $105.17 / $178.79	Professional		$70.01	$105.17	$178.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.40 / $56.60 / $84.10	Professional		$46.40	$56.60	$84.10