Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $147.47 / $158.97	Professional		$120.73	$147.47	$158.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $204.00 / $255.00	Professional		$84.51	$204.00	$255.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $149.65 / $188.63 / $423.14	Professional		$149.65	$188.63	$423.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.79 / $189.80 / $370.11	Facility		$146.79	$189.80	$370.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $94.69 / $172.00	Professional		$87.54	$94.69	$172.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $208.78 / $370.11	Facility		$172.00	$208.78	$370.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $189.03 / $370.11	Professional		$168.17	$189.03	$370.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $193.60 / $345.58	Professional		$50.00	$193.60	$345.58
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $94.69 / $134.13	Professional		$73.20	$94.69	$134.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $170.82 / $170.82	Professional		$134.94	$170.82	$170.82