Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $118.38 / $266.41	Professional		$90.80	$118.38	$266.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.12 / $231.08 / $306.44	Professional		$114.12	$231.08	$306.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $158.19 / $359.41	Professional		$108.37	$158.19	$359.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.87 / $155.55 / $258.19	Facility		$103.87	$155.55	$258.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $249.12 / $626.04	Professional		$143.56	$249.12	$626.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $200.27 / $228.75 / $262.18	Facility		$200.27	$228.75	$262.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $200.27 / $231.08 / $265.42	Professional		$200.27	$231.08	$265.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $96.59 / $168.27 / $206.22	Professional		$96.59	$168.27	$206.22
United Facility/Professional Professional Modifier Low / Median / High Price $110.95 / $194.29 / $274.33	Professional		$110.95	$194.29	$274.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.22 / $214.20 / $252.00	Professional		$169.22	$214.20	$252.00