Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.05 / $63.91 / $73.73	Professional		$52.05	$63.91	$73.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $99.75 / $124.69	Professional		$37.59	$99.75	$124.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $78.31 / $86.35	Professional		$67.86	$78.31	$86.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.59 / $84.02 / $152.72	Facility		$65.59	$84.02	$152.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $39.07 / $78.14	Professional		$36.13	$39.07	$78.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.01 / $86.15 / $152.72	Facility		$78.01	$86.15	$152.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $78.01 / $152.72	Professional		$70.56	$78.01	$152.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $87.62 / $156.40	Professional		$50.00	$87.62	$156.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $39.07 / $57.31	Professional		$32.56	$39.07	$57.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $70.48 / $70.48	Professional		$55.69	$70.48	$70.48