Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $74.70 / $88.25	Professional		$50.27	$74.70	$88.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.32 / $122.25 / $152.81	Professional		$44.32	$122.25	$152.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.77 / $92.34 / $110.92	Professional		$78.77	$92.34	$110.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.20 / $99.12 / $180.06	Facility		$77.20	$99.12	$180.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $46.07 / $92.14	Professional		$42.59	$46.07	$92.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.96 / $101.57 / $180.06	Facility		$91.96	$101.57	$180.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.81 / $91.96 / $180.06	Professional		$81.81	$91.96	$180.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $107.47 / $191.83	Professional		$50.00	$107.47	$191.83
United Facility/Professional Professional Modifier Low / Median / High Price $36.79 / $46.07 / $58.98	Professional		$36.79	$46.07	$58.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $83.11 / $83.11	Professional		$65.66	$83.11	$83.11