Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $86.67 / $99.60	Professional		$66.26	$86.67	$99.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.24 / $118.13 / $147.66	Professional		$48.24	$118.13	$147.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.67 / $101.96 / $118.00	Professional		$86.67	$101.96	$118.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $103.48 / $147.13	Facility		$76.81	$103.48	$147.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $51.62 / $103.25	Professional		$47.73	$51.62	$103.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.05 / $113.83 / $201.79	Facility		$103.05	$113.83	$201.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $103.05 / $201.79	Professional		$93.23	$103.05	$201.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $105.55 / $188.41	Professional		$35.00	$105.55	$188.41
United Facility/Professional Professional Modifier Low / Median / High Price $41.79 / $51.62 / $66.09	Professional		$41.79	$51.62	$66.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.56 / $93.13 / $93.13	Professional		$73.56	$93.13	$93.13