Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.53 / $174.28 / $180.58	Professional		$125.53	$174.28	$180.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $246.00 / $307.50	Professional		$87.87	$246.00	$307.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $169.87 / $193.52 / $215.59	Professional		$169.87	$193.52	$215.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.06 / $215.59 / $420.40	Facility		$160.06	$215.59	$420.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.33 / $107.56 / $207.00	Professional		$91.33	$107.56	$207.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.00 / $237.15 / $420.40	Facility		$207.00	$237.15	$420.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $191.04 / $214.72 / $420.40	Professional		$191.04	$214.72	$420.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.34 / $219.90 / $392.52	Professional		$212.34	$219.90	$392.52
United Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $107.56 / $139.30	Professional		$73.14	$107.56	$139.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.28 / $194.03 / $194.03	Professional		$153.28	$194.03	$194.03