Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $60.76 / $70.25	Professional		$45.75	$60.76	$70.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.54 / $83.63 / $104.53	Professional		$34.54	$83.63	$104.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $71.98 / $84.96	Professional		$61.18	$71.98	$84.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $55.75 / $75.09 / $106.79	Facility		$55.75	$75.09	$106.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $34.64 / $37.47 / $74.00	Professional		$34.64	$37.47	$74.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $74.00 / $82.61 / $146.44	Facility		$74.00	$82.61	$146.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $74.80 / $146.44	Professional		$67.67	$74.80	$146.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $76.59 / $136.72	Professional		$35.00	$76.59	$136.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.93 / $37.47 / $54.96	Professional		$29.93	$37.47	$54.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.40 / $67.59 / $67.59	Professional		$53.40	$67.59	$67.59