Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $44.95 / $68.28	Professional		$30.55	$44.95	$68.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $70.86 / $131.01	Professional		$42.42	$70.86	$131.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $30.97 / $47.86 / $113.96	Professional		$30.97	$47.86	$113.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $35.24 / $55.32 / $105.15	Facility		$35.24	$55.32	$105.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $126.22 / $383.21	Professional		$70.30	$126.22	$383.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $55.32 / $81.51 / $109.92	Facility		$55.32	$81.51	$109.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $55.32 / $81.51 / $134.99	Professional		$55.32	$81.51	$134.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $73.00	Professional		$73.00	$73.00	$73.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.11 / $93.16 / $148.40	Professional		$67.11	$93.16	$148.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $55.60 / $79.50	Professional		$45.90	$55.60	$79.50