Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.00 / $183.92 / $250.22	Professional		$141.00	$183.92	$250.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.68 / $353.67 / $459.67	Professional		$171.68	$353.67	$459.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $237.96 / $530.54	Professional		$159.69	$237.96	$530.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $159.69 / $236.06 / $390.87	Facility		$159.69	$236.06	$390.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $383.69 / $970.00	Professional		$221.16	$383.69	$970.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $305.00 / $353.67 / $404.43	Facility		$305.00	$353.67	$404.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.97 / $357.55 / $411.94	Professional		$308.97	$357.55	$411.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.18 / $258.31 / $309.20	Professional		$145.18	$258.31	$309.20
United Facility/Professional Professional Modifier Low / Median / High Price $178.64 / $321.10 / $422.52	Professional		$178.64	$321.10	$422.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $254.62 / $322.30 / $379.20	Professional		$254.62	$322.30	$379.20