Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $126.00 / $126.00	Professional		$73.63	$126.00	$126.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.02 / $203.61 / $220.10	Professional		$171.02	$203.61	$220.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.09 / $114.33 / $1,199.45	Professional		$73.09	$114.33	$1,199.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.03 / $198.78 / $1,607.00	Facility		$102.03	$198.78	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.80 / $189.10 / $660.00	Professional		$100.80	$189.10	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $127.14 / $171.02 / $239.83	Facility		$127.14	$171.02	$239.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.14 / $171.02 / $239.83	Professional		$127.14	$171.02	$239.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $137.10 / $149.90 / $194.20	Professional		$137.10	$149.90	$194.20
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 $93.77 / $160.97 / $254.37	Professional		$93.77	$160.97	$254.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $148.19 / $174.30	Professional		$148.19	$148.19	$174.30