Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.73 / $71.20 / $85.95	Professional		$51.73	$71.20	$85.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.25 / $133.50 / $166.88	Professional		$42.25	$133.50	$166.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.81 / $97.05 / $118.02	Professional		$74.81	$97.05	$118.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $88.02 / $125.16	Facility		$65.34	$88.02	$125.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $40.60 / $43.91 / $87.83	Professional		$40.60	$43.91	$87.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $96.82 / $171.64	Facility		$87.66	$96.82	$171.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.98 / $87.66 / $171.64	Professional		$77.98	$87.66	$171.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $117.59 / $209.90	Professional		$20.00	$117.59	$209.90
United Facility/Professional Professional Modifier Low / Median / High Price $36.60 / $43.91 / $56.23	Professional		$36.60	$43.91	$56.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $79.22 / $79.22	Professional		$62.58	$79.22	$79.22