Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $85.11 / $229.09	Professional		$46.77	$85.11	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $199.53 / $269.15	Professional		$109.65	$199.53	$269.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $144.54 / $229.09	Professional		$61.66	$144.54	$229.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $162.18 / $380.19	Professional		$95.50	$162.18	$380.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $181.97 / $251.19	Professional		$109.65	$181.97	$251.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $245.47	Professional		$91.20	$128.82	$245.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $173.78 / $245.47	Professional		$6.03	$173.78	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $109.65 / $218.78	Professional		$54.95	$109.65	$218.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $104.71 / $199.53	Professional		$89.13	$104.71	$199.53