Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.64 / $65.51 / $260.14	Professional		$58.64	$65.51	$260.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $136.91 / $201.26	Professional		$71.29	$136.91	$201.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $101.61 / $345.00	Professional		$67.62	$101.61	$345.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.92 / $105.29 / $154.61	Facility		$64.92	$105.29	$154.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $127.95 / $464.35	Professional		$82.28	$127.95	$464.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $141.19 / $196.62	Facility		$105.29	$141.19	$196.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.29 / $138.91 / $196.62	Professional		$105.29	$138.91	$196.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $135.60 / $184.90	Professional		$92.00	$135.60	$184.90
United Facility/Professional Professional Modifier Low / Median / High Price $78.54 / $106.03 / $173.69	Professional		$78.54	$106.03	$173.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.18 / $145.80 / $145.80	Professional		$115.18	$145.80	$145.80