Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $137.16 / $170.66	Professional		$74.62	$137.16	$170.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $202.03 / $334.67	Professional		$102.38	$202.03	$334.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $111.80 / $146.11	Professional		$57.99	$111.80	$146.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.37 / $158.90 / $262.82	Facility		$72.37	$158.90	$262.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.19 / $298.41 / $935.43	Professional		$152.19	$298.41	$935.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.38 / $209.12 / $268.33	Facility		$102.38	$209.12	$268.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.12 / $209.12 / $337.47	Professional		$100.12	$209.12	$337.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $187.10 / $187.10 / $187.10	Professional		$187.10	$187.10	$187.10
United Facility/Professional Professional Modifier Low / Median / High Price $125.72 / $246.15 / $359.96	Professional		$125.72	$246.15	$359.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.70 / $128.10 / $253.90	Professional		$105.70	$128.10	$253.90