Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $140.10 / $156.16	Professional		$115.62	$140.10	$156.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.93 / $237.75 / $297.19	Professional		$80.93	$237.75	$297.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $148.88 / $174.33 / $222.14	Professional		$148.88	$174.33	$222.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $141.21 / $179.97 / $328.77	Facility		$141.21	$179.97	$328.77
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.77 / $84.11 / $168.23	Professional		$77.77	$84.11	$168.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $167.92 / $185.46 / $328.77	Facility		$167.92	$185.46	$328.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $167.92 / $328.77	Professional		$149.38	$167.92	$328.77
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $209.19 / $373.40	Professional		$168.60	$209.19	$373.40
United Facility/Professional Professional Modifier Low / Median / High Price $70.09 / $84.11 / $123.37	Professional		$70.09	$84.11	$123.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $119.87 / $151.74 / $151.74	Professional		$119.87	$151.74	$151.74