Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $133.25 / $133.25	Professional		$85.18	$133.25	$133.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $186.20 / $232.76	Professional		$186.20	$186.20	$232.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.30 / $138.06 / $347.04	Professional		$75.30	$138.06	$347.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.05 / $221.72 / $5,023.00	Facility		$126.05	$221.72	$5,023.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $197.15 / $1,870.00	Professional		$100.67	$197.15	$1,870.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $257.85 / $1,552.02	Facility		$141.00	$257.85	$1,552.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.46 / $177.59 / $257.85	Professional		$131.46	$177.59	$257.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $157.50 / $212.20	Professional		$97.00	$157.50	$212.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,044.00 / $5,023.00 / $7,305.00	Facility		$3,044.00	$5,023.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $171.00 / $270.22	Professional		$95.46	$171.00	$270.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $153.80 / $181.00	Professional		$153.80	$153.80	$181.00