Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.34 / $82.97 / $121.08	Professional		$69.34	$82.97	$121.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.81 / $146.94 / $216.33	Professional		$60.81	$146.94	$216.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $59.87 / $87.49 / $197.36	Professional		$59.87	$87.49	$197.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.95 / $139.24 / $214.58	Facility		$70.95	$139.24	$214.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.62 / $140.19 / $371.42	Professional		$87.62	$140.19	$371.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $150.62 / $170.98 / $209.15	Facility		$150.62	$170.98	$209.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $176.57 / $221.36	Professional		$136.18	$176.57	$221.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $86.26 / $154.86	Professional		$60.61	$86.26	$154.86
United Facility/Professional Professional Modifier Low / Median / High Price $79.87 / $115.49 / $200.65	Professional		$79.87	$115.49	$200.65
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $100.20 / $126.00 / $148.19	Professional		$100.20	$126.00	$148.19