Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $66.07 / $72.44	Professional		$37.15	$66.07	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $95.50 / $120.23	Professional		$37.15	$95.50	$120.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $77.62 / $85.11	Professional		$66.07	$77.62	$85.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $109.65	Facility		$60.26	$77.62	$109.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $38.02 / $66.07	Professional		$32.36	$38.02	$66.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $151.36 / $151.36	Professional		$85.11	$151.36	$151.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $165.96	Professional		$79.43	$109.65	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $79.43	Facility		$79.43	$79.43	$79.43
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.02 / $48.98	Professional		$30.20	$38.02	$48.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18