Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.80 / $122.62 / $524.26	Professional		$102.80	$122.62	$524.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $229.03 / $323.30	Professional		$118.00	$229.03	$323.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $166.11 / $964.27	Professional		$111.12	$166.11	$964.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $182.31 / $276.37	Facility		$107.64	$182.31	$276.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.90 / $197.49 / $1,082.00	Professional		$132.90	$197.49	$1,082.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $229.03 / $318.72	Facility		$172.73	$229.03	$318.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $232.72 / $318.72	Professional		$172.73	$232.72	$318.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $108.96 / $194.49 / $220.66	Professional		$108.96	$194.49	$220.66
United Facility/Professional Professional Modifier Low / Median / High Price $126.86 / $164.74 / $280.54	Professional		$126.86	$164.74	$280.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.89 / $239.10 / $239.10	Professional		$188.89	$239.10	$239.10