Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.91 / $251.88 / $1,055.01	Professional		$162.91	$251.88	$1,055.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.13 / $241.41 / $385.45	Professional		$193.13	$241.41	$385.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.25 / $149.72 / $738.18	Professional		$148.25	$149.72	$738.18
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.15 / $360.24 / $474.39	Facility		$180.15	$360.24	$474.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.86 / $255.02 / $571.40	Professional		$186.86	$255.02	$571.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $219.38 / $255.02 / $464.59	Facility		$219.38	$255.02	$464.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.38 / $303.75 / $474.39	Professional		$219.38	$303.75	$474.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $267.61 / $325.32	Professional		$148.69	$267.61	$325.32
United Facility/Professional Professional Modifier Low / Median / High Price $181.05 / $232.08 / $404.20	Professional		$181.05	$232.08	$404.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $310.00 / $364.70	Professional		$244.90	$310.00	$364.70