Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $38.49 / $41.41	Professional		$34.50	$38.49	$41.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $52.50 / $79.00	Professional		$31.07	$52.50	$79.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $77.09 / $84.36	Professional		$65.54	$77.09	$84.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $65.06 / $109.42	Facility		$34.50	$65.06	$109.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $51.63 / $97.90	Professional		$35.14	$51.63	$97.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $46.03 / $65.06 / $79.00	Facility		$46.03	$65.06	$79.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $65.06 / $79.00	Professional		$46.03	$65.06	$79.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $118.67 / $125.88	Professional		$111.49	$118.67	$125.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $50.31 / $84.71	Professional		$35.14	$50.31	$84.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $73.30 / $76.30	Professional		$53.70	$73.30	$76.30