Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.31 / $191.72 / $715.00	Professional		$154.31	$191.72	$715.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $256.41 / $481.04	Professional		$167.84	$256.41	$481.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.56 / $279.88 / $581.00	Professional		$184.56	$279.88	$581.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.62 / $242.18 / $439.40	Facility		$186.62	$242.18	$439.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.65 / $351.89 / $1,182.54	Professional		$210.65	$351.89	$1,182.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $233.85 / $313.02 / $481.04	Facility		$233.85	$313.02	$481.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $317.16 / $497.26	Professional		$235.72	$317.16	$497.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $238.80 / $470.40	Professional		$216.10	$238.80	$470.40
United Facility/Professional Professional Modifier Low / Median / High Price $201.43 / $312.39 / $508.45	Professional		$201.43	$312.39	$508.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $223.18 / $282.50 / $332.30	Professional		$223.18	$282.50	$332.30