Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $64.20 / $87.68	Professional		$30.35	$64.20	$87.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.67 / $110.25 / $137.81	Professional		$101.67	$110.25	$137.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.02 / $100.60 / $171.99	Professional		$95.02	$100.60	$171.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.00 / $108.26 / $159.94	Facility		$73.00	$108.26	$159.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $58.29 / $235.87	Professional		$45.72	$58.29	$235.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.64 / $104.52 / $136.75	Facility		$94.64	$104.52	$136.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.94 / $108.62 / $158.99	Professional		$90.94	$108.62	$158.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.07 / $101.60 / $173.00	Professional		$92.07	$101.60	$173.00
United Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $47.40 / $81.37	Professional		$45.29	$47.40	$81.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $85.52 / $85.52 / $85.52	Facility		$85.52	$85.52	$85.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.56 / $85.52 / $85.52	Professional		$67.56	$85.52	$85.52