Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.21 / $70.51 / $75.31	Professional		$62.21	$70.51	$75.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.57 / $101.63 / $127.03	Professional		$37.57	$101.63	$127.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $87.15 / $101.94	Professional		$74.08	$87.15	$101.94
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.64 / $87.15 / $169.94	Facility		$68.64	$87.15	$169.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $43.48 / $86.00	Professional		$39.04	$43.48	$86.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.00 / $95.87 / $169.94	Facility		$86.00	$95.87	$169.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.23 / $86.81 / $169.94	Professional		$77.23	$86.81	$169.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $87.15 / $89.39 / $159.56	Professional		$87.15	$89.39	$159.56
United Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $43.48 / $63.77	Professional		$32.54	$43.48	$63.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $61.97 / $78.44 / $78.44	Professional		$61.97	$78.44	$78.44