Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.90 / $75.12 / $75.12	Professional		$43.90	$75.12	$75.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.62 / $121.03 / $134.37	Professional		$102.62	$121.03	$134.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.86 / $68.69 / $750.52	Professional		$43.86	$68.69	$750.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.39 / $126.95 / $1,607.00	Facility		$97.39	$126.95	$1,607.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.62 / $119.00 / $660.00	Professional		$60.62	$119.00	$660.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $76.25 / $114.65 / $144.96	Facility		$76.25	$114.65	$144.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $114.65 / $144.96	Professional		$81.00	$114.65	$144.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $88.90 / $117.10	Professional		$81.30	$88.90	$117.10
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 $56.51 / $101.45 / $153.29	Professional		$56.51	$101.45	$153.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $88.90 / $88.90 / $104.60	Professional		$88.90	$88.90	$104.60