Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $63.85 / $86.94	Professional		$51.84	$63.85	$86.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $96.75 / $120.94	Professional		$37.88	$96.75	$120.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.08 / $78.92 / $94.40	Professional		$67.08	$78.92	$94.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $58.59 / $78.80 / $112.22	Facility		$58.59	$78.80	$112.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $39.36 / $78.73	Professional		$36.40	$39.36	$78.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.59 / $86.81 / $153.88	Facility		$78.59	$86.81	$153.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $82.00 / $153.88	Professional		$71.09	$82.00	$153.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $85.14 / $151.97	Professional		$35.00	$85.14	$151.97
United Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $39.36 / $50.41	Professional		$32.81	$39.36	$50.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $71.03 / $71.03	Professional		$56.11	$71.03	$71.03