Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.01 / $50.91 / $55.95	Professional		$43.01	$50.91	$55.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.80 / $75.00 / $93.75	Professional		$29.80	$75.00	$93.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.78 / $62.55 / $73.59	Professional		$51.78	$62.55	$73.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.71 / $62.92 / $89.48	Facility		$46.71	$62.92	$89.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $29.02 / $31.40 / $62.80	Professional		$29.02	$31.40	$62.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.67 / $69.20 / $122.69	Facility		$62.67	$69.20	$122.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $62.67 / $122.69	Professional		$56.11	$62.67	$122.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $66.01 / $117.83	Professional		$35.00	$66.01	$117.83
United Facility/Professional Professional Modifier Low / Median / High Price $25.81 / $31.40 / $40.20	Professional		$25.81	$31.40	$40.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $44.74 / $56.63 / $56.63	Professional		$44.74	$56.63	$56.63