Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $81.86 / $141.53	Professional		$54.21	$81.86	$141.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $99.01 / $244.33	Professional		$47.01	$99.01	$244.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $72.30 / $132.76	Professional		$43.15	$72.30	$132.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.17 / $151.26 / $241.46	Facility		$60.17	$151.26	$241.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $129.03 / $373.15	Professional		$92.56	$129.03	$373.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $152.00 / $222.88	Facility		$117.02	$152.00	$222.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.50 / $152.00 / $244.33	Professional		$113.50	$152.00	$244.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $102.19 / $177.20	Professional		$93.39	$102.19	$177.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $105.58 / $194.11	Professional		$72.25	$105.58	$194.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $122.50 / $214.60	Professional		$104.10	$122.50	$214.60