Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.83 / $90.72 / $121.41	Professional		$80.83	$90.72	$121.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.49 / $164.50 / $230.67	Professional		$85.49	$164.50	$230.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.82 / $146.21 / $279.31	Professional		$84.82	$146.21	$279.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.98 / $174.13 / $239.38	Facility		$95.98	$174.13	$239.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.27 / $180.34 / $931.22	Professional		$101.27	$180.34	$931.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $198.65 / $222.35	Facility		$135.68	$198.65	$222.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $182.24 / $230.29	Professional		$132.00	$182.24	$230.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.80 / $160.50 / $228.40	Professional		$110.80	$160.50	$228.40
United Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $140.90 / $236.88	Professional		$92.39	$140.90	$236.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $161.50 / $197.50	Professional		$127.59	$161.50	$197.50