Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $120.21 / $134.02	Professional		$103.47	$120.21	$134.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.23 / $276.64 / $523.15	Professional		$126.23	$276.64	$523.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.82 / $228.50 / $651.89	Professional		$119.82	$228.50	$651.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.34 / $313.88 / $939.44	Facility		$159.34	$313.88	$939.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $256.86 / $2,194.78	Professional		$132.87	$256.86	$2,194.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.26 / $243.55 / $437.00	Facility		$167.26	$243.55	$437.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $167.26 / $248.04 / $458.46	Professional		$167.26	$248.04	$458.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $132.24 / $241.63	Professional		$62.96	$132.24	$241.63
United Facility/Professional Professional Modifier Low / Median / High Price $132.87 / $136.86 / $322.26	Professional		$132.87	$136.86	$322.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.70 / $284.39 / $334.40	Professional		$241.70	$284.39	$334.40