Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $56.59 / $65.73	Professional		$45.69	$56.59	$65.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.19 / $78.00 / $97.50	Professional		$32.19	$78.00	$97.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $67.33 / $82.60	Professional		$57.23	$67.33	$82.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.93 / $69.95 / $99.45	Facility		$51.93	$69.95	$99.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $34.90 / $69.79	Professional		$32.26	$34.90	$69.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.66 / $76.95 / $136.40	Facility		$69.66	$76.95	$136.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $69.66 / $136.40	Professional		$63.01	$69.66	$136.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $71.34 / $127.36	Professional		$35.00	$71.34	$127.36
United Facility/Professional Professional Modifier Low / Median / High Price $27.88 / $34.90 / $44.68	Professional		$27.88	$34.90	$44.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $62.96 / $62.96	Professional		$49.74	$62.96	$62.96