Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $208.30 / $323.35	Professional		$167.84	$208.30	$323.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.31 / $279.83 / $508.71	Professional		$183.31	$279.83	$508.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $305.27 / $509.14	Professional		$200.66	$305.27	$509.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $197.09 / $262.70 / $478.06	Facility		$197.09	$262.70	$478.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $222.51 / $383.12 / $1,287.73	Professional		$222.51	$383.12	$1,287.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $253.54 / $331.03 / $508.71	Facility		$253.54	$331.03	$508.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $335.40 / $549.16	Professional		$253.54	$335.40	$549.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $208.30 / $239.60 / $514.60	Professional		$208.30	$239.60	$514.60
United Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $335.95 / $578.52	Professional		$214.37	$335.95	$578.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $243.72 / $308.50 / $362.90	Professional		$243.72	$308.50	$362.90