Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $119.06 / $126.37	Professional		$105.05	$119.06	$126.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.92 / $170.63 / $213.28	Professional		$63.92	$170.63	$213.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $147.16 / $165.20	Professional		$117.73	$147.16	$165.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.06 / $147.25 / $286.95	Facility		$119.06	$147.25	$286.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $66.44 / $73.42 / $145.00	Professional		$66.44	$73.42	$145.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $161.88 / $286.95	Facility		$145.00	$161.88	$286.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.41 / $146.58 / $286.95	Professional		$130.41	$146.58	$286.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $147.16 / $150.19 / $268.11	Professional		$147.16	$150.19	$268.11
United Facility/Professional Professional Modifier Low / Median / High Price $55.37 / $73.42 / $94.00	Professional		$55.37	$73.42	$94.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $132.44 / $132.44	Professional		$104.63	$132.44	$132.44