Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.76 / $79.97 / $85.17	Professional		$54.76	$79.97	$85.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.83 / $115.88 / $144.84	Professional		$45.83	$115.88	$144.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.15 / $95.47 / $113.50	Professional		$81.15	$95.47	$113.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.66 / $101.89 / $186.17	Facility		$78.66	$101.89	$186.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.04 / $47.63 / $95.26	Professional		$44.04	$47.63	$95.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $95.09 / $105.02 / $186.17	Facility		$95.09	$105.02	$186.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.59 / $95.09 / $186.17	Professional		$84.59	$95.09	$186.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $101.93 / $181.95	Professional		$50.00	$101.93	$181.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $47.63 / $60.99	Professional		$39.11	$47.63	$60.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $85.92 / $85.92	Professional		$67.88	$85.92	$85.92