Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $69.59 / $126.11	Professional		$52.49	$69.59	$126.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $145.31 / $218.15	Professional		$102.84	$145.31	$218.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $110.19 / $198.66	Professional		$44.09	$110.19	$198.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.72 / $143.62 / $1,151.00	Facility		$81.72	$143.62	$1,151.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $156.72 / $576.00	Professional		$90.82	$156.72	$576.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $66.70 / $115.47 / $189.39	Facility		$66.70	$115.47	$189.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $135.27 / $204.00	Professional		$94.02	$135.27	$204.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $109.40 / $205.20	Professional		$3.00	$109.40	$205.20
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 $76.95 / $130.65 / $217.81	Professional		$76.95	$130.65	$217.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $105.30 / $172.10	Professional		$89.50	$105.30	$172.10