Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.79 / $98.65 / $397.00	Professional		$76.79	$98.65	$397.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $154.50 / $264.11	Professional		$81.84	$154.50	$264.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $87.90 / $274.27	Professional		$75.79	$87.90	$274.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.13 / $164.27 / $212.37	Facility		$100.13	$164.27	$212.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.96 / $206.85 / $613.55	Professional		$110.96	$206.85	$613.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.64 / $133.43 / $243.36	Facility		$113.64	$133.43	$243.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.62 / $160.44 / $243.36	Professional		$121.62	$160.44	$243.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $109.00	Professional		$109.00	$109.00	$109.00
United Facility/Professional Professional Modifier Low / Median / High Price $106.14 / $159.05 / $262.45	Professional		$106.14	$159.05	$262.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $130.19 / $130.19	Professional		$102.86	$130.19	$130.19