Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.31 / $57.45 / $65.30	Professional		$44.31	$57.45	$65.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $84.75 / $105.94	Professional		$32.92	$84.75	$105.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $68.58 / $82.60	Professional		$58.60	$68.58	$82.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.92 / $68.56 / $97.52	Facility		$50.92	$68.56	$97.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $31.63 / $34.21 / $68.42	Professional		$31.63	$34.21	$68.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $68.30 / $75.44 / $133.72	Facility		$68.30	$75.44	$133.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $61.79 / $68.30 / $133.72	Professional		$61.79	$68.30	$133.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $74.72 / $133.38	Professional		$35.00	$74.72	$133.38
United Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $34.21 / $57.02	Professional		$28.51	$34.21	$57.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $61.72 / $61.72	Professional		$48.76	$61.72	$61.72