Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $84.95 / $84.95	Professional		$58.78	$84.95	$84.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $345.32 / $484.11	Professional		$154.91	$345.32	$484.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $227.62 / $278.12 / $423.36	Professional		$227.62	$278.12	$423.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $84.95 / $98.45 / $405.28	Facility		$84.95	$98.45	$405.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $345.32 / $451.00	Professional		$154.91	$345.32	$451.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $154.91 / $154.91 / $154.91	Facility		$154.91	$154.91	$154.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.91 / $154.91 / $345.32	Professional		$154.91	$154.91	$345.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $210.50 / $230.50	Professional		$210.50	$210.50	$230.50
United Facility/Professional Facility Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Facility		$233.00	$233.00	$233.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.87 / $153.00 / $153.00	Professional		$120.87	$153.00	$153.00