Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $107.15 / $123.03	Professional		$60.26	$107.15	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $151.36 / $190.55	Professional		$61.66	$151.36	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $147.91	Professional		$109.65	$128.82	$147.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $181.97	Facility		$97.72	$128.82	$181.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $112.20	Professional		$53.70	$64.57	$112.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $251.19	Professional		$138.04	$251.19	$251.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $281.84	Professional		$131.83	$186.21	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Facility		$131.83	$131.83	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $83.18	Professional		$53.70	$64.57	$83.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49