Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.22 / $182.81 / $196.72	Professional		$131.22	$182.81	$196.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.84 / $253.13 / $316.41	Professional		$91.84	$253.13	$316.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $218.26 / $258.95	Professional		$180.54	$218.26	$258.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $234.86 / $443.07	Facility		$174.37	$234.86	$443.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $117.17 / $223.00	Professional		$95.46	$117.17	$223.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $223.00 / $258.35 / $457.98	Facility		$223.00	$258.35	$457.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $233.92 / $457.98	Professional		$208.12	$233.92	$457.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $218.26 / $239.56 / $427.61	Professional		$218.26	$239.56	$427.61
United Facility/Professional Professional Modifier Low / Median / High Price $79.55 / $117.17 / $150.04	Professional		$79.55	$117.17	$150.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $166.98 / $211.37 / $211.37	Professional		$166.98	$211.37	$211.37