Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.70 / $83.99 / $117.37	Professional		$68.70	$83.99	$117.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $122.50 / $211.47	Professional		$48.00	$122.50	$211.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.70 / $95.97 / $162.08	Professional		$61.70	$95.97	$162.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $67.92 / $107.69 / $170.19	Facility		$67.92	$107.69	$170.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.34 / $206.08 / $538.17	Professional		$110.34	$206.08	$538.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.97 / $165.39 / $205.63	Facility		$141.97	$165.39	$205.63
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $155.63 / $211.60	Professional		$118.00	$155.63	$211.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.30 / $110.30 / $228.70	Professional		$110.30	$110.30	$228.70
United Facility/Professional Professional Modifier Low / Median / High Price $93.37 / $157.88 / $230.87	Professional		$93.37	$157.88	$230.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.59 / $93.70 / $121.00	Professional		$77.59	$93.70	$121.00