Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.15 / $71.83 / $89.96	Professional		$47.15	$71.83	$89.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.61 / $123.00 / $153.75	Professional		$42.61	$123.00	$153.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $90.05 / $123.68	Professional		$75.45	$90.05	$123.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $88.39 / $126.25	Facility		$63.07	$88.39	$126.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.96 / $44.29 / $88.58	Professional		$40.96	$44.29	$88.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.42 / $97.66 / $173.12	Facility		$88.42	$97.66	$173.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $90.22 / $173.12	Professional		$79.98	$90.22	$173.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $108.06 / $192.89	Professional		$20.00	$108.06	$192.89
United Facility/Professional Professional Modifier Low / Median / High Price $34.68 / $44.29 / $56.72	Professional		$34.68	$44.29	$56.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.12 / $79.90 / $79.90	Professional		$63.12	$79.90	$79.90