Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.13 / $63.14 / $72.59	Professional		$48.13	$63.14	$72.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.19 / $100.50 / $125.63	Professional		$36.19	$100.50	$125.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $64.08 / $75.39 / $88.15	Professional		$64.08	$75.39	$88.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $75.27 / $107.20	Facility		$55.97	$75.27	$107.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $37.61 / $75.22	Professional		$34.77	$37.61	$75.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $82.93 / $147.01	Facility		$75.09	$82.93	$147.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $75.09 / $147.01	Professional		$66.80	$75.09	$147.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $88.39 / $157.78	Professional		$35.00	$88.39	$157.78
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $37.61 / $45.87	Professional		$31.34	$37.61	$45.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $67.84 / $67.84	Professional		$53.60	$67.84	$67.84