Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $65.31 / $210.39	Professional		$37.29	$65.31	$210.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.19 / $116.55 / $195.07	Professional		$72.19	$116.55	$195.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $36.74 / $75.52 / $329.84	Professional		$36.74	$75.52	$329.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $54.89 / $116.63 / $193.53	Facility		$54.89	$116.63	$193.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.70 / $139.68 / $693.25	Professional		$85.70	$139.68	$693.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.74 / $112.33 / $167.10	Facility		$85.74	$112.33	$167.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.91 / $112.33 / $180.00	Professional		$80.91	$112.33	$180.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $68.09 / $106.56	Professional		$38.15	$68.09	$106.56
United Facility/Professional Professional Modifier Low / Median / High Price $62.26 / $122.08 / $206.88	Professional		$62.26	$122.08	$206.88
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.70 / $92.60 / $133.40	Professional		$78.70	$92.60	$133.40