Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $85.56 / $110.84	Professional		$75.83	$85.56	$110.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $110.99 / $197.39	Professional		$60.00	$110.99	$197.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $0.85 / $1.15 / $71.97	Professional		$0.85	$1.15	$71.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $107.69 / $169.73	Facility		$65.90	$107.69	$169.73
Medica Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $174.66 / $524.21	Professional		$93.68	$174.66	$524.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.99 / $122.05 / $200.41	Facility		$110.99	$122.05	$200.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $135.99 / $200.41	Professional		$93.68	$135.99	$200.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $44.16 / $46.84	Professional		$41.75	$44.16	$46.84
United Facility/Professional Professional Modifier Low / Median / High Price $92.30 / $148.91 / $218.31	Professional		$92.30	$148.91	$218.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $140.80 / $140.80	Professional		$140.80	$140.80	$140.80