Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.06 / $155.19 / $225.76	Professional		$118.06	$155.19	$225.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.87 / $246.41 / $402.78	Professional		$159.87	$246.41	$402.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.42 / $164.41 / $360.49	Professional		$101.42	$164.41	$360.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.69 / $180.72 / $306.39	Facility		$112.69	$180.72	$306.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.89 / $400.57 / $1,041.92	Professional		$206.89	$400.57	$1,041.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $237.10 / $303.54 / $350.89	Facility		$237.10	$303.54	$350.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $281.63 / $402.78	Professional		$204.19	$281.63	$402.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $197.49 / $297.92	Professional		$117.74	$197.49	$297.92
United Facility/Professional Professional Modifier Low / Median / High Price $181.20 / $358.51 / $448.07	Professional		$181.20	$358.51	$448.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $170.40 / $226.50	Professional		$131.19	$170.40	$226.50