Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $73.52 / $87.08	Professional		$52.04	$73.52	$87.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $120.38 / $150.47	Professional		$43.62	$120.38	$150.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $90.87 / $147.55	Professional		$77.23	$90.87	$147.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.11 / $90.87 / $177.20	Facility		$62.11	$90.87	$177.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $45.34 / $90.67	Professional		$41.92	$45.34	$90.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.50 / $99.96 / $177.20	Facility		$90.50	$99.96	$177.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.52 / $90.50 / $177.20	Professional		$80.52	$90.50	$177.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $106.04 / $189.28	Professional		$20.00	$106.04	$189.28
United Facility/Professional Professional Modifier Low / Median / High Price $37.78 / $45.34 / $58.05	Professional		$37.78	$45.34	$58.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $81.78 / $81.78	Professional		$64.61	$81.78	$81.78