Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.43 / $180.27 / $236.85	Professional		$145.43	$180.27	$236.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.80 / $246.38 / $325.08	Professional		$101.80	$246.38	$325.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $167.41 / $212.64 / $283.72	Professional		$167.41	$212.64	$283.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $209.94 / $272.58 / $510.65	Facility		$209.94	$272.58	$510.65
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $141.08 / $242.18	Professional		$105.81	$141.08	$242.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $311.06 / $551.41	Facility		$224.00	$311.06	$551.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $224.00 / $281.64 / $551.41	Professional		$224.00	$281.64	$551.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.64 / $288.43 / $514.85	Professional		$212.64	$288.43	$514.85
United Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $141.08 / $180.63	Professional		$88.18	$141.08	$180.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.06 / $254.50 / $254.50	Professional		$201.06	$254.50	$254.50