Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $127.31 / $127.82	Professional		$102.72	$127.31	$127.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.63 / $176.25 / $220.31	Professional		$162.63	$176.25	$220.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.99 / $160.96 / $275.10	Professional		$151.99	$160.96	$275.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $95.86 / $173.17 / $216.12	Facility		$95.86	$173.17	$216.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $93.25 / $377.38	Professional		$73.14	$93.25	$377.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.37 / $167.19 / $218.76	Facility		$151.37	$167.19	$218.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $121.00 / $173.74 / $225.45	Professional		$121.00	$173.74	$225.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.38 / $188.10 / $276.73	Professional		$144.38	$188.10	$276.73
United Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $75.83 / $303.30	Professional		$73.14	$75.83	$303.30
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $136.79 / $136.79 / $136.79	Facility		$136.79	$136.79	$136.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $108.06 / $136.79 / $136.79	Professional		$108.06	$136.79	$136.79