Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $123.34 / $507.20	Professional		$76.42	$123.34	$507.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.38 / $30.47 / $119.85	Professional		$24.38	$30.47	$119.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $71.37 / $382.76	Professional		$20.82	$71.37	$382.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.83 / $151.66 / $220.78	Facility		$102.83	$151.66	$220.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $103.29 / $276.36	Professional		$75.75	$103.29	$276.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $119.85 / $189.64	Facility		$91.27	$119.85	$189.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $125.76 / $189.64	Professional		$95.69	$125.76	$189.64
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $162.93 / $173.29 / $183.84	Professional		$162.93	$173.29	$183.84
United Facility/Professional Professional Modifier Low / Median / High Price $75.75 / $89.67 / $156.16	Professional		$75.75	$89.67	$156.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $149.31 / $189.00 / $189.00	Professional		$149.31	$189.00	$189.00