Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.26 / $80.64 / $80.86	Professional		$72.26	$80.64	$80.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.45 / $129.56 / $229.53	Professional		$79.45	$129.56	$229.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.92 / $82.37 / $148.69	Professional		$75.92	$82.37	$148.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.64 / $95.43 / $207.04	Facility		$80.64	$95.43	$207.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $156.13 / $567.27	Professional		$100.17	$156.13	$567.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.36 / $149.37 / $229.53	Facility		$112.36	$149.37	$229.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.96 / $151.34 / $242.26	Professional		$113.96	$151.34	$242.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $216.40	Professional		$110.00	$110.00	$216.40
United Facility/Professional Professional Modifier Low / Median / High Price $95.61 / $139.32 / $211.44	Professional		$95.61	$139.32	$211.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $99.86 / $126.40 / $126.40	Professional		$99.86	$126.40	$126.40