Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.55 / $48.98 / $49.75	Professional		$44.55	$48.98	$49.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $80.06 / $140.80	Professional		$49.10	$80.06	$140.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $50.87 / $91.84	Professional		$46.94	$50.87	$91.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $58.24 / $127.87	Facility		$48.98	$58.24	$127.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $95.60 / $349.47	Professional		$61.40	$95.60	$349.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $91.62 / $140.80	Facility		$68.81	$91.62	$140.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.61 / $92.15 / $149.34	Professional		$69.61	$92.15	$149.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $68.00 / $131.50	Professional		$68.00	$68.00	$131.50
United Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $80.25 / $129.61	Professional		$58.10	$80.25	$129.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $78.09 / $78.09	Professional		$61.70	$78.09	$78.09