Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $64.56 / $70.20	Professional		$55.03	$64.56	$70.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $96.00 / $120.00	Professional		$37.00	$96.00	$120.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.15 / $77.08 / $87.28	Professional		$66.15	$77.08	$87.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $82.69 / $150.31	Facility		$62.36	$82.69	$150.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $38.45 / $76.91	Professional		$35.56	$38.45	$76.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.77 / $84.79 / $150.31	Facility		$76.77	$84.79	$150.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $69.44 / $76.77 / $150.31	Professional		$69.44	$76.77	$150.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $84.34 / $150.55	Professional		$50.00	$84.34	$150.55
United Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $38.45 / $64.09	Professional		$32.04	$38.45	$64.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $54.80 / $69.37 / $69.37	Professional		$54.80	$69.37	$69.37