Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $53.70 / $64.57	Professional		$30.20	$53.70	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $77.62 / $97.72	Professional		$32.36	$77.62	$97.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $69.18 / $83.18	Professional		$57.54	$69.18	$83.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $69.18 / $100.00	Facility		$52.48	$69.18	$100.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $60.26	Professional		$28.18	$34.67	$60.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $134.90	Professional		$72.44	$134.90	$134.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $95.50 / $147.91	Professional		$69.18	$95.50	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $44.67	Professional		$26.30	$34.67	$44.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10