Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $126.57 / $177.44	Professional		$99.23	$126.57	$177.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.24 / $180.24 / $180.24	Facility		$180.24	$180.24	$180.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.00 / $222.13 / $355.89	Professional		$104.00	$222.13	$355.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $151.34 / $225.68	Professional		$114.47	$151.34	$225.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $126.62 / $147.15 / $229.97	Facility		$126.62	$147.15	$229.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.28 / $244.41 / $911.03	Professional		$111.28	$244.41	$911.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.35 / $222.13 / $341.74	Facility		$150.35	$222.13	$341.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $169.70 / $235.01 / $371.47	Professional		$169.70	$235.01	$371.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.22 / $141.38 / $264.52	Professional		$104.22	$141.38	$264.52
United Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $140.22 / $329.11	Professional		$101.25	$140.22	$329.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $170.72 / $216.10	Professional		$146.10	$170.72	$216.10