Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.72 / $104.49 / $174.17	Professional		$92.72	$104.49	$174.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.40 / $217.38 / $310.56	Professional		$113.40	$217.38	$310.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $162.26 / $532.50	Professional		$107.04	$162.26	$532.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.58 / $174.60 / $248.48	Facility		$103.58	$174.60	$248.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $199.18 / $1,082.00	Professional		$126.86	$199.18	$1,082.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.43 / $219.80 / $305.38	Facility		$166.43	$219.80	$305.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.43 / $219.80 / $305.38	Professional		$166.43	$219.80	$305.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $145.10 / $217.30 / $308.70	Professional		$145.10	$217.30	$308.70
United Facility/Professional Professional Modifier Low / Median / High Price $121.88 / $162.84 / $269.54	Professional		$121.88	$162.84	$269.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $182.02 / $230.40 / $230.40	Professional		$182.02	$230.40	$230.40