Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.98 / $51.27 / $59.14	Professional		$41.98	$51.27	$59.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $90.00 / $112.50	Professional		$29.38	$90.00	$112.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.16 / $66.01 / $77.66	Professional		$54.16	$66.01	$77.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $45.44 / $61.07 / $87.05	Facility		$45.44	$61.07	$87.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.24 / $30.54 / $61.08	Professional		$28.24	$30.54	$61.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $67.33 / $119.36	Facility		$60.96	$67.33	$119.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $54.24 / $60.96 / $119.36	Professional		$54.24	$60.96	$119.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $79.20 / $141.38	Professional		$20.00	$79.20	$141.38
United Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $30.54 / $39.10	Professional		$24.39	$30.54	$39.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $55.09 / $55.09	Professional		$43.52	$55.09	$55.09