Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $47.86 / $64.57	Professional		$26.92	$47.86	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $91.20 / $114.82	Professional		$28.84	$91.20	$114.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $60.26 / $79.43	Professional		$47.86	$60.26	$79.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $60.26 / $85.11	Facility		$50.12	$60.26	$85.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $29.51 / $51.29	Professional		$23.99	$29.51	$51.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $117.49 / $117.49	Professional		$57.54	$117.49	$117.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $87.10 / $144.54	Professional		$60.26	$87.10	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $29.51 / $39.81	Professional		$23.44	$29.51	$39.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70