Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $102.13 / $141.69	Professional		$69.87	$102.13	$141.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $229.84 / $405.94	Professional		$148.47	$229.84	$405.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $132.53 / $243.30	Professional		$87.82	$132.53	$243.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $90.18 / $126.12 / $213.14	Facility		$90.18	$126.12	$213.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $242.31 / $920.04	Professional		$135.00	$242.31	$920.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $148.47 / $200.39 / $277.20	Facility		$148.47	$200.39	$277.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $204.33 / $278.33	Professional		$148.47	$204.33	$278.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $178.50 / $178.50 / $178.50	Professional		$178.50	$178.50	$178.50
United Facility/Professional Professional Modifier Low / Median / High Price $129.94 / $206.38 / $334.77	Professional		$129.94	$206.38	$334.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.10 / $149.19 / $195.50	Professional		$123.10	$149.19	$195.50