Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $76.30 / $80.16	Professional		$54.67	$76.30	$80.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.73 / $106.13 / $132.66	Professional		$43.73	$106.13	$132.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $91.10 / $116.82	Professional		$77.44	$91.10	$116.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.68 / $97.31 / $177.65	Facility		$75.68	$97.31	$177.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $45.45 / $90.90	Professional		$42.02	$45.45	$90.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.73 / $100.21 / $177.65	Facility		$90.73	$100.21	$177.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.72 / $90.73 / $177.65	Professional		$80.72	$90.73	$177.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $93.45 / $166.81	Professional		$50.00	$93.45	$166.81
United Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $45.45 / $58.19	Professional		$37.57	$45.45	$58.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.77 / $81.99 / $81.99	Professional		$64.77	$81.99	$81.99