Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $30.39 / $50.13	Professional		$30.39	$30.39	$50.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $53.21 / $98.28	Professional		$35.19	$53.21	$98.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $447.26 / $671.20	Professional		$68.02	$447.26	$671.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $30.39 / $51.88 / $351.02	Facility		$30.39	$51.88	$351.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $67.18 / $335.71	Professional		$43.88	$67.18	$335.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $62.10 / $98.28	Facility		$51.88	$62.10	$98.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $70.03 / $107.09	Professional		$51.88	$70.03	$107.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.20 / $58.20 / $58.20	Professional		$58.20	$58.20	$58.20
United Facility/Professional Professional Modifier Low / Median / High Price $41.90 / $67.04 / $110.89	Professional		$41.90	$67.04	$110.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $225.10 / $225.10	Professional		$177.83	$225.10	$225.10