Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.12 / $86.47 / $124.82	Professional		$65.12	$86.47	$124.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $101.63 / $101.63	Facility		$101.63	$101.63	$101.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $140.47 / $246.01	Professional		$46.00	$140.47	$246.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $98.35 / $161.34	Professional		$71.45	$98.35	$161.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.11 / $91.50 / $142.19	Facility		$79.11	$91.50	$142.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $146.49 / $561.11	Professional		$75.00	$146.49	$561.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $114.95 / $214.53	Facility		$104.52	$114.95	$214.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.11 / $145.57 / $229.43	Professional		$104.11	$145.57	$229.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $93.72 / $170.49	Professional		$71.15	$93.72	$170.49
United Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $116.85 / $234.97	Professional		$71.00	$116.85	$234.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $106.33 / $134.60	Professional		$91.70	$106.33	$134.60