Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $53.84 / $58.14	Professional		$43.71	$53.84	$58.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $77.25 / $96.56	Professional		$31.15	$77.25	$96.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $55.66 / $65.48 / $76.11	Professional		$55.66	$65.48	$76.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $65.48 / $93.13	Facility		$48.62	$65.48	$93.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $32.67 / $65.34	Professional		$30.21	$32.67	$65.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $65.23 / $72.03 / $127.69	Facility		$65.23	$72.03	$127.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.31 / $65.23 / $127.69	Professional		$58.31	$65.23	$127.69
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $67.92 / $121.24	Professional		$35.00	$67.92	$121.24
United Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $32.67 / $43.77	Professional		$26.98	$32.67	$43.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $46.55 / $58.93 / $58.93	Professional		$46.55	$58.93	$58.93