Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.77 / $73.48 / $78.87	Professional		$52.77	$73.48	$78.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.94 / $102.38 / $127.97	Professional		$36.94	$102.38	$127.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $88.23 / $100.30	Professional		$75.00	$88.23	$100.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.44 / $90.84 / $177.14	Facility		$67.44	$90.84	$177.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $45.32 / $88.00	Professional		$38.39	$45.32	$88.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.00 / $99.92 / $177.14	Facility		$88.00	$99.92	$177.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $90.47 / $177.14	Professional		$80.50	$90.47	$177.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.23 / $92.66 / $165.40	Professional		$88.23	$92.66	$165.40
United Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $45.32 / $58.03	Professional		$32.00	$45.32	$58.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $81.76 / $81.76	Professional		$64.59	$81.76	$81.76