Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $47.62 / $48.33	Professional		$42.61	$47.62	$48.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $76.67 / $134.63	Professional		$47.02	$76.67	$134.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $48.44 / $87.42	Professional		$45.12	$48.44	$87.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $47.62 / $56.16 / $121.76	Facility		$47.62	$56.16	$121.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $91.69 / $333.27	Professional		$58.56	$91.69	$333.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $87.61 / $134.63	Facility		$65.98	$87.61	$134.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $88.76 / $142.97	Professional		$67.03	$88.76	$142.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $65.09 / $128.69	Professional		$65.09	$65.09	$128.69
United Facility/Professional Professional Modifier Low / Median / High Price $55.22 / $75.17 / $123.62	Professional		$55.22	$75.17	$123.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $74.80 / $74.80	Professional		$59.09	$74.80	$74.80