Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $138.44 / $219.51	Professional		$86.04	$138.44	$219.51
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.83 / $148.57 / $221.49	Professional	25	$141.83	$148.57	$221.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $131.11 / $341.16	Professional		$65.00	$131.11	$341.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.30 / $135.06 / $217.00	Professional		$70.30	$135.06	$217.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $86.04 / $216.24 / $367.06	Facility		$86.04	$216.24	$367.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $137.77 / $194.00 / $592.72	Professional		$137.77	$194.00	$592.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $195.76 / $232.52 / $341.16	Facility		$195.76	$232.52	$341.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.94 / $240.52 / $368.95	Professional		$186.94	$240.52	$368.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $153.46 / $265.14	Professional		$80.06	$153.46	$265.14
United Facility/Professional Professional Modifier Low / Median / High Price $106.86 / $158.07 / $298.42	Professional		$106.86	$158.07	$298.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $170.10 / $200.10 / $320.39	Professional		$170.10	$200.10	$320.39