Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.11 / $57.93 / $61.83	Professional		$51.11	$57.93	$61.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $83.25 / $104.06	Professional		$30.85	$83.25	$104.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.86 / $71.59 / $83.72	Professional		$60.86	$71.59	$83.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $46.00 / $71.59 / $139.62	Facility		$46.00	$71.59	$139.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $35.72 / $70.00	Professional		$32.07	$35.72	$70.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $78.76 / $139.62	Facility		$70.00	$78.76	$139.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $63.45 / $71.31 / $139.62	Professional		$63.45	$71.31	$139.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $75.00 / $131.02	Professional		$71.59	$75.00	$131.02
United Facility/Professional Professional Modifier Low / Median / High Price $26.73 / $35.72 / $45.74	Professional		$26.73	$35.72	$45.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $64.44 / $64.44	Professional		$50.91	$64.44	$64.44