Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.65 / $203.44 / $995.45	Professional		$140.65	$203.44	$995.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.72 / $321.73 / $402.16	Professional		$184.72	$321.73	$402.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $167.25 / $240.80	Professional		$100.63	$167.25	$240.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $133.90 / $274.64 / $972.29	Facility		$133.90	$274.64	$972.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.54 / $212.08 / $483.39	Professional		$124.54	$212.08	$483.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.49 / $259.07 / $364.49	Facility		$148.49	$259.07	$364.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $137.00 / $250.22 / $364.49	Professional		$137.00	$250.22	$364.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.26 / $239.65 / $274.39	Professional		$134.26	$239.65	$274.39
United Facility/Professional Professional Modifier Low / Median / High Price $121.79 / $198.83 / $350.81	Professional		$121.79	$198.83	$350.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $178.86 / $226.40 / $266.30	Professional		$178.86	$226.40	$266.30