Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $118.95 / $123.15	Professional		$85.83	$118.95	$123.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $170.25 / $212.81	Professional		$60.08	$170.25	$212.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.01 / $137.47 / $160.88	Professional		$109.01	$137.47	$160.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $113.42 / $147.03 / $286.70	Facility		$113.42	$147.03	$286.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.45 / $73.34 / $143.00	Professional		$62.45	$73.34	$143.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $143.00 / $161.72 / $286.70	Facility		$143.00	$161.72	$286.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.28 / $146.44 / $286.70	Professional		$130.28	$146.44	$286.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $146.72 / $149.97 / $267.70	Professional		$146.72	$149.97	$267.70
United Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $73.34 / $93.93	Professional		$49.87	$73.34	$93.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $132.33 / $132.33	Professional		$104.54	$132.33	$132.33