Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $143.27 / $231.96	Professional		$111.32	$143.27	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $308.17 / $389.91	Professional		$187.59	$308.17	$389.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.53 / $177.54 / $470.05	Professional		$114.53	$177.54	$470.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.91 / $201.61 / $345.10	Facility		$136.91	$201.61	$345.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.53 / $317.92 / $935.19	Professional		$161.53	$317.92	$935.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.70 / $311.99 / $367.50	Facility		$164.70	$311.99	$367.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $292.50 / $369.06	Professional		$187.59	$292.50	$369.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $173.90 / $173.90 / $459.80	Professional		$173.90	$173.90	$459.80
United Facility/Professional Professional Modifier Low / Median / High Price $154.51 / $261.26 / $382.05	Professional		$154.51	$261.26	$382.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $260.89 / $306.89	Professional		$206.11	$260.89	$306.89