Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $39.51 / $136.13	Professional		$30.08	$39.51	$136.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $54.75 / $68.44	Professional		$50.80	$54.75	$68.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.18 / $49.99 / $85.40	Professional		$47.18	$49.99	$85.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $39.51 / $60.85 / $152.51	Facility		$39.51	$60.85	$152.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $22.71 / $28.96 / $117.20	Professional		$22.71	$28.96	$117.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $53.75 / $90.00	Facility		$51.74	$53.75	$90.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $60.62 / $90.00	Professional		$51.74	$60.62	$90.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $48.12 / $85.89	Professional		$45.71	$48.12	$85.89
United Facility/Professional Professional Modifier Low / Median / High Price $22.40 / $23.54 / $41.19	Professional		$22.40	$23.54	$41.19
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $42.46 / $42.46	Facility		$42.46	$42.46	$42.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $42.46 / $42.46	Professional		$33.54	$42.46	$42.46