Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $61.76 / $156.00	Professional		$47.02	$61.76	$156.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $85.50 / $106.88	Professional		$79.34	$85.50	$106.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $75.77 / $133.44	Professional		$71.91	$75.77	$133.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.76 / $84.00 / $162.63	Facility		$61.76	$84.00	$162.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $45.21 / $182.96	Professional		$35.47	$45.21	$182.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.87 / $84.00 / $106.11	Facility		$80.87	$84.00	$106.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.87 / $92.44 / $123.35	Professional		$80.87	$92.44	$123.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $91.20 / $134.22	Professional		$70.04	$91.20	$134.22
United Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $36.79 / $63.15	Professional		$35.00	$36.79	$63.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.36 / $66.36 / $66.36	Facility		$66.36	$66.36	$66.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $66.36 / $66.36	Professional		$52.42	$66.36	$66.36