Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.65 / $58.78 / $67.75	Professional		$47.65	$58.78	$67.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $85.50 / $106.88	Professional		$33.68	$85.50	$106.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.06 / $70.17 / $77.36	Professional		$59.06	$70.17	$77.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.10 / $70.09 / $99.77	Facility		$52.10	$70.09	$99.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $35.01 / $70.02	Professional		$32.36	$35.01	$70.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $77.19 / $136.83	Facility		$69.89	$77.19	$136.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $69.89 / $136.83	Professional		$63.22	$69.89	$136.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $75.31 / $134.43	Professional		$35.00	$75.31	$134.43
United Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $35.01 / $44.82	Professional		$29.18	$35.01	$44.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $63.15 / $63.15	Professional		$49.89	$63.15	$63.15