Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $78.28 / $86.33	Professional		$55.28	$78.28	$86.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $108.38 / $135.47	Professional		$44.86	$108.38	$135.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $92.88 / $109.27	Professional		$77.63	$92.88	$109.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.28 / $99.87 / $182.23	Facility		$78.28	$99.87	$182.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.10 / $46.62 / $93.24	Professional		$43.10	$46.62	$93.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.07 / $102.80 / $182.23	Facility		$93.07	$102.80	$182.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $93.07 / $182.23	Professional		$84.19	$93.07	$182.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $95.32 / $170.15	Professional		$50.00	$95.32	$170.15
United Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $46.62 / $62.44	Professional		$38.85	$46.62	$62.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $84.11 / $84.11	Professional		$66.45	$84.11	$84.11