Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.70 / $66.40 / $77.38	Professional		$38.70	$66.40	$77.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $104.63 / $130.78	Professional		$36.11	$104.63	$130.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $84.42 / $126.34	Professional		$72.23	$84.42	$126.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $79.28 / $112.73	Facility		$54.18	$79.28	$112.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $39.54 / $79.09	Professional		$36.57	$39.54	$79.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.95 / $87.21 / $154.60	Facility		$78.95	$87.21	$154.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $78.95 / $154.60	Professional		$71.42	$78.95	$154.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.28 / $92.10 / $164.40	Professional		$79.28	$92.10	$164.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.29 / $39.54 / $50.64	Professional		$31.29	$39.54	$50.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $500.00 / $500.00	Professional		$395.00	$500.00	$500.00