Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $68.93 / $70.02	Professional		$63.00	$68.93	$70.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.04 / $112.56 / $198.35	Professional		$69.04	$112.56	$198.35
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $71.55 / $129.16	Professional		$65.98	$71.55	$129.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.93 / $82.10 / $179.84	Facility		$68.93	$82.10	$179.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.28 / $134.72 / $493.61	Professional		$86.28	$134.72	$493.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $96.95 / $129.08 / $198.35	Facility		$96.95	$129.08	$198.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.10 / $130.78 / $211.28	Professional		$98.10	$130.78	$211.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.60 / $95.60 / $188.00	Professional		$95.60	$95.60	$188.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.36 / $117.13 / $182.14	Professional		$82.36	$117.13	$182.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.74 / $109.80 / $109.80	Professional		$86.74	$109.80	$109.80