Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.10 / $171.21 / $232.32	Professional		$20.10	$171.21	$232.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $256.50 / $326.05	Professional		$64.84	$256.50	$326.05
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $228.05 / $275.08	Professional		$40.11	$228.05	$275.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.39 / $135.03 / $1,173.52	Facility		$28.39	$135.03	$1,173.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.65 / $319.92 / $756.40	Professional		$182.65	$319.92	$756.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $230.90 / $307.39 / $509.08	Facility		$230.90	$307.39	$509.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.19 / $311.45 / $509.08	Professional		$49.19	$311.45	$509.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $268.60 / $268.60 / $268.60	Professional		$268.60	$268.60	$268.60
United Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $296.29 / $438.91	Professional		$179.00	$296.29	$438.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $36.02 / $45.60 / $53.70	Professional		$36.02	$45.60	$53.70