Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $67.66 / $75.28	Professional		$57.67	$67.66	$75.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $97.13 / $121.41	Professional		$38.71	$97.13	$121.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.66 / $80.78 / $100.30	Professional		$68.66	$80.78	$100.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.11 / $86.28 / $157.52	Facility		$67.11	$86.28	$157.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.26 / $40.31 / $80.62	Professional		$37.26	$40.31	$80.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $80.45 / $88.86 / $157.52	Facility		$80.45	$88.86	$157.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.77 / $80.45 / $157.52	Professional		$72.77	$80.45	$157.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $85.32 / $152.30	Professional		$50.00	$85.32	$152.30
United Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $40.31 / $51.60	Professional		$33.53	$40.31	$51.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $72.70 / $72.70	Professional		$57.43	$72.70	$72.70