Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.92 / $105.98 / $149.08	Professional		$94.92	$105.98	$149.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $251.40 / $283.43	Professional		$153.00	$251.40	$283.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $98.63 / $155.82 / $365.63	Professional		$98.63	$155.82	$365.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $117.00 / $212.93 / $283.43	Facility		$117.00	$212.93	$283.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.78 / $252.13 / $686.29	Professional		$147.78	$252.13	$686.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $251.40 / $283.43	Facility		$153.00	$251.40	$283.43
Midlands Facility/Professional Professional Modifier Low / Median / High Price $140.71 / $233.44 / $283.43	Professional		$140.71	$233.44	$283.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.40 / $134.40 / $290.39	Professional		$134.40	$134.40	$290.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.62 / $204.79 / $299.47	Professional		$126.62	$204.79	$299.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $167.09 / $211.50 / $248.80	Professional		$167.09	$211.50	$248.80