Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $95.33 / $443.50	Professional		$81.39	$95.33	$443.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.19 / $127.44 / $196.28	Professional		$83.19	$127.44	$196.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $39.42 / $65.97 / $184.76	Professional		$39.42	$65.97	$184.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $91.95 / $123.81 / $202.27	Facility		$91.95	$123.81	$202.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $139.24 / $579.79	Professional		$85.40	$139.24	$579.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $169.50 / $219.97	Facility		$115.00	$169.50	$219.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $106.83 / $146.18 / $219.97	Professional		$106.83	$146.18	$219.97
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $432.31 / $432.31 / $1,333.17	Facility		$432.31	$432.31	$1,333.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $86.50 / $120.00	Professional		$86.50	$86.50	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $119.78 / $203.62	Professional		$82.35	$119.78	$203.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $103.20 / $103.20	Professional		$81.53	$103.20	$103.20