Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.32 / $51.22 / $176.42	Professional		$41.32	$51.22	$176.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.79 / $70.88 / $88.59	Professional		$65.79	$70.88	$88.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.14 / $64.70 / $110.66	Professional		$61.14	$64.70	$110.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.22 / $78.88 / $182.20	Facility		$51.22	$78.88	$182.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.41 / $37.49 / $151.72	Professional		$29.41	$37.49	$151.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $69.66 / $106.00	Facility		$67.06	$69.66	$106.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $78.56 / $106.00	Professional		$67.06	$78.56	$106.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $58.08 / $75.70 / $111.31	Professional		$58.08	$75.70	$111.31
United Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $30.50 / $52.37	Professional		$29.14	$30.50	$52.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.03 / $55.03 / $55.03	Facility		$55.03	$55.03	$55.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $55.03 / $55.03	Professional		$43.47	$55.03	$55.03