Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $56.38 / $78.97	Professional		$39.34	$56.38	$78.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.45 / $107.63 / $134.53	Professional		$33.45	$107.63	$134.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $70.27 / $92.70	Professional		$59.24	$70.27	$92.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $69.38 / $99.09	Facility		$51.74	$69.38	$99.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $34.76 / $69.53	Professional		$32.15	$34.76	$69.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.41 / $76.66 / $135.90	Facility		$69.41	$76.66	$135.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.78 / $72.00 / $135.90	Professional		$62.78	$72.00	$135.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $94.55 / $168.77	Professional		$20.00	$94.55	$168.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $34.76 / $44.51	Professional		$28.97	$34.76	$44.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $62.72 / $62.72	Professional		$49.55	$62.72	$62.72