Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $85.46 / $98.87	Professional		$61.60	$85.46	$98.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.97 / $147.75 / $184.69	Professional		$48.97	$147.75	$184.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.40 / $108.21 / $127.30	Professional		$95.40	$108.21	$127.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $82.54 / $109.46 / $198.96	Facility		$82.54	$109.46	$198.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $50.90 / $101.80	Professional		$47.06	$50.90	$101.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $101.61 / $112.23 / $198.96	Facility		$101.61	$112.23	$198.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.41 / $101.61 / $198.96	Professional		$90.41	$101.61	$198.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.00 / $129.85 / $231.78	Professional		$35.00	$129.85	$231.78
United Facility/Professional Professional Modifier Low / Median / High Price $41.59 / $50.90 / $62.07	Professional		$41.59	$50.90	$62.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $91.83 / $91.83	Professional		$72.55	$91.83	$91.83