Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $71.40	Professional		$70.70	$70.70	$71.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.93 / $93.66 / $214.18	Professional		$74.93	$93.66	$214.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $127.97 / $321.30	Professional		$70.70	$127.97	$321.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $120.06 / $313.80	Facility		$71.04	$120.06	$313.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.04 / $71.04 / $214.18	Professional		$71.04	$71.04	$214.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.81 / $88.24 / $169.13	Facility		$82.81	$88.24	$169.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.24 / $94.44 / $214.18	Professional		$85.24	$94.44	$214.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $599.90 / $599.90 / $599.90	Professional		$599.90	$599.90	$599.90
United Facility/Professional Professional Modifier Low / Median / High Price $70.70 / $70.70 / $77.77	Professional		$70.70	$70.70	$77.77
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $71.04 / $71.04 / $71.04	Facility		$71.04	$71.04	$71.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.12 / $71.04 / $71.04	Professional		$56.12	$71.04	$71.04