Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.30 / $94.16 / $132.66	Professional		$81.30	$94.16	$132.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.33 / $131.33 / $131.33	Facility		$131.33	$131.33	$131.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.88 / $148.38 / $257.57	Professional		$113.88	$148.38	$257.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.40 / $113.07 / $201.20	Professional		$78.40	$113.07	$201.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $122.68 / $200.01	Facility		$79.09	$122.68	$200.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.17 / $222.87 / $609.03	Professional		$112.17	$222.87	$609.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.49 / $148.38 / $232.78	Facility		$144.49	$148.38	$232.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.10 / $158.41 / $248.14	Professional		$120.10	$158.41	$248.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $129.69 / $191.99	Professional		$88.35	$129.69	$191.99
United Facility/Professional Professional Modifier Low / Median / High Price $106.13 / $164.65 / $259.52	Professional		$106.13	$164.65	$259.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.90 / $114.16 / $144.50	Professional		$97.90	$114.16	$144.50