Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $106.90 / $172.98	Professional		$65.11	$106.90	$172.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $242.89 / $394.82	Professional		$136.34	$242.89	$394.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.75 / $142.49 / $278.91	Professional		$80.75	$142.49	$278.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.02 / $132.59 / $243.88	Facility		$83.02	$132.59	$243.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.80 / $294.79 / $951.45	Professional		$160.80	$294.79	$951.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $136.34 / $217.86 / $300.02	Facility		$136.34	$217.86	$300.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $217.86 / $313.75	Professional		$136.34	$217.86	$313.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.70 / $195.70 / $195.70	Professional		$195.70	$195.70	$195.70
United Facility/Professional Professional Modifier Low / Median / High Price $153.49 / $223.66 / $339.43	Professional		$153.49	$223.66	$339.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $137.00 / $212.50	Professional		$113.00	$137.00	$212.50