Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $167.26 / $235.00	Professional		$105.76	$167.26	$235.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.72 / $305.14 / $419.74	Professional		$220.72	$305.14	$419.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.84 / $197.09 / $377.37	Professional		$103.84	$197.09	$377.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $140.47 / $290.57 / $407.05	Facility		$140.47	$290.57	$407.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $158.01 / $294.39 / $1,099.20	Professional		$158.01	$294.39	$1,099.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.45 / $274.91 / $374.27	Facility		$113.45	$274.91	$374.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.51 / $294.39 / $379.76	Professional		$223.51	$294.39	$379.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $166.92 / $268.08	Professional		$108.23	$166.92	$268.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,775.00 / $3,560.25	Facility		$1,151.00	$1,775.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $220.29 / $410.29	Professional		$144.56	$220.29	$410.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.60 / $253.70 / $333.00	Professional		$215.60	$253.70	$333.00