Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $64.57 / $74.13	Professional		$34.67	$64.57	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $102.33 / $128.82	Professional		$36.31	$102.33	$128.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $89.13	Professional		$63.10	$75.86	$89.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $107.15	Facility		$56.23	$75.86	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $37.15 / $64.57	Professional		$30.20	$37.15	$64.57
Midlands Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $147.91 / $147.91	Professional		$87.10	$147.91	$147.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $107.15 / $162.18	Professional		$77.62	$107.15	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $47.86	Professional		$29.51	$37.15	$47.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Professional		$67.61	$67.61	$67.61