Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.53 / $104.89 / $147.11	Professional		$83.53	$104.89	$147.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.69 / $145.69 / $145.69	Facility		$145.69	$145.69	$145.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $189.75 / $325.39	Professional		$75.00	$189.75	$325.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.05 / $130.16 / $187.50	Professional		$95.05	$130.16	$187.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.89 / $136.43 / $203.29	Facility		$104.89	$136.43	$203.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $193.17 / $742.55	Professional		$102.33	$193.17	$742.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.38 / $179.67 / $283.24	Facility		$163.38	$179.67	$283.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $181.04 / $303.91	Professional		$140.69	$181.04	$303.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $94.75 / $123.75 / $227.27	Professional		$94.75	$123.75	$227.27
United Facility/Professional Professional Modifier Low / Median / High Price $94.13 / $173.80 / $309.14	Professional		$94.13	$173.80	$309.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.50 / $141.33 / $178.90	Professional		$122.50	$141.33	$178.90