Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $63.08 / $74.31	Professional		$50.36	$63.08	$74.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $102.75 / $128.44	Professional		$36.14	$102.75	$128.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $75.41 / $88.72	Professional		$64.01	$75.41	$88.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.91 / $75.19 / $107.08	Facility		$55.91	$75.19	$107.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $37.57 / $75.14	Professional		$34.72	$37.57	$75.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $82.83 / $146.84	Facility		$75.00	$82.83	$146.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.73 / $75.00 / $146.84	Professional		$66.73	$75.00	$146.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $90.49 / $161.52	Professional		$20.00	$90.49	$161.52
United Facility/Professional Professional Modifier Low / Median / High Price $30.41 / $37.57 / $50.32	Professional		$30.41	$37.57	$50.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.54 / $67.77 / $67.77	Professional		$53.54	$67.77	$67.77