Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $117.81 / $131.35	Professional		$100.40	$117.81	$131.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $162.32 / $301.64	Professional		$75.94	$162.32	$301.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $118.42 / $181.52 / $245.03	Professional		$118.42	$181.52	$245.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.79 / $161.69 / $611.58	Facility		$98.79	$161.69	$611.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.49 / $205.24 / $882.93	Professional		$90.49	$205.24	$882.93
Midlands Facility/Professional Facility Modifier Low / Median / High Price $106.29 / $209.91 / $273.97	Facility		$106.29	$209.91	$273.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $110.92 / $209.91 / $300.85	Professional		$110.92	$209.91	$300.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $122.28 / $224.98	Professional		$47.25	$122.28	$224.98
United Facility/Professional Professional Modifier Low / Median / High Price $126.07 / $129.85 / $295.13	Professional		$126.07	$129.85	$295.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $229.20 / $269.70 / $317.10	Professional		$229.20	$269.70	$317.10