Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $158.49	Professional		$87.10	$120.23	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $275.42 / $524.81	Professional		$125.89	$275.42	$524.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $229.09 / $645.65	Professional		$120.23	$229.09	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $316.23 / $933.25	Facility		$158.49	$316.23	$933.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $263.03 / $2,187.76	Professional		$131.83	$263.03	$2,187.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $524.81	Professional		$165.96	$275.42	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $524.81	Professional		$257.04	$257.04	$524.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $134.90 / $263.03	Professional		$63.10	$134.90	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $478.63	Professional		$131.83	$141.25	$478.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $331.13	Professional		$239.88	$281.84	$331.13