Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $54.07 / $66.80	Professional		$45.83	$54.07	$66.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.08 / $101.63 / $127.03	Professional		$32.08	$101.63	$127.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $69.28 / $87.73	Professional		$56.81	$69.28	$87.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $49.62 / $66.66 / $95.03	Facility		$49.62	$66.66	$95.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $33.34 / $66.00	Professional		$30.82	$33.34	$66.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $73.51 / $130.32	Facility		$66.00	$73.51	$130.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $59.21 / $66.55 / $130.32	Professional		$59.21	$66.55	$130.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $89.48 / $159.72	Professional		$20.00	$89.48	$159.72
United Facility/Professional Professional Modifier Low / Median / High Price $26.62 / $33.34 / $42.69	Professional		$26.62	$33.34	$42.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $60.15 / $60.15	Professional		$47.52	$60.15	$60.15