Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.36 / $87.83 / $252.88	Professional		$50.36	$87.83	$252.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.17 / $170.55 / $257.10	Professional		$109.17	$170.55	$257.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $121.02 / $198.75	Professional		$45.06	$121.02	$198.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.17 / $171.81 / $1,204.00	Facility		$109.17	$171.81	$1,204.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.99 / $191.97 / $666.32	Professional		$97.99	$191.97	$666.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.07 / $138.00 / $232.52	Facility		$102.07	$138.00	$232.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.08 / $150.15 / $244.06	Professional		$100.08	$150.15	$244.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $161.00 / $246.10	Professional		$6.00	$161.00	$246.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,607.00 / $2,126.00	Facility		$1,204.00	$1,607.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $168.22 / $265.83	Professional		$91.58	$168.22	$265.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $92.40 / $108.80 / $191.40	Professional		$92.40	$108.80	$191.40