Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.95	Professional		$67.27	$67.27	$67.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $81.05 / $120.10	Professional		$64.84	$81.05	$120.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $121.76 / $244.75	Professional		$67.27	$121.76	$244.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.02 / $112.74 / $216.97	Facility		$51.02	$112.74	$216.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $66.31 / $196.18	Professional		$66.31	$66.31	$196.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.34 / $79.58 / $196.18	Facility		$76.34	$79.58	$196.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $86.87 / $196.18	Professional		$76.34	$86.87	$196.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.00 / $467.00 / $467.00	Professional		$467.00	$467.00	$467.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $74.00	Professional		$67.27	$67.27	$74.00
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $66.31 / $66.31 / $66.31	Facility		$66.31	$66.31	$66.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $52.39 / $66.31 / $66.31	Professional		$52.39	$66.31	$66.31