Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $108.05 / $137.57	Professional		$71.34	$108.05	$137.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $149.63 / $187.03	Professional		$61.92	$149.63	$187.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $129.00 / $171.27	Professional		$109.65	$129.00	$171.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.62 / $137.72 / $251.55	Facility		$105.62	$137.72	$251.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $64.36 / $126.00	Professional		$59.50	$64.36	$126.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $141.90 / $251.55	Facility		$126.00	$141.90	$251.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $114.31 / $128.47 / $251.55	Professional		$114.31	$128.47	$251.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $131.58 / $234.87	Professional		$50.00	$131.58	$234.87
United Facility/Professional Professional Modifier Low / Median / High Price $51.39 / $64.36 / $82.40	Professional		$51.39	$64.36	$82.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $116.10 / $116.10	Professional		$91.72	$116.10	$116.10