Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $158.49 / $194.98	Professional		$85.11	$158.49	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $251.19 / $316.23	Professional		$91.20	$251.19	$316.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $234.42	Professional		$181.97	$218.78	$234.42
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $234.42 / $331.13	Facility		$158.49	$234.42	$331.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $199.53	Professional		$79.43	$117.49	$199.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $457.09	Professional		$223.87	$457.09	$457.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $478.63	Professional		$223.87	$309.03	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Facility		$239.88	$239.88	$239.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $151.36	Professional		$79.43	$117.49	$151.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Professional		$213.80	$213.80	$213.80