Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $147.09 / $165.95	Professional		$101.90	$147.09	$165.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.33 / $181.50 / $227.69	Professional		$71.33	$181.50	$227.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.44 / $156.71 / $218.44	Professional		$127.44	$156.71	$218.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.80 / $190.63 / $318.12	Facility		$123.80	$190.63	$318.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.14 / $98.84 / $173.00	Professional		$74.14	$98.84	$173.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $217.94 / $386.35	Facility		$173.00	$217.94	$386.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $173.00 / $197.34 / $386.35	Professional		$173.00	$197.34	$386.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $202.09 / $360.73	Professional		$156.71	$202.09	$360.73
United Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $98.84 / $126.57	Professional		$61.78	$98.84	$126.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $178.32 / $178.32	Professional		$140.87	$178.32	$178.32