Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.18 / $95.03 / $102.23	Professional		$85.18	$95.03	$102.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $181.13 / $226.41	Professional		$76.70	$181.13	$226.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.54 / $212.40 / $236.00	Professional		$180.54	$212.40	$236.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.18 / $160.68 / $271.60	Facility		$85.18	$160.68	$271.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.76 / $127.46 / $241.71	Professional		$86.76	$127.46	$241.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.65 / $160.68 / $195.00	Facility		$113.65	$160.68	$195.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $160.68 / $195.00	Professional		$113.65	$160.68	$195.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.56 / $274.27 / $290.99	Professional		$257.56	$274.27	$290.99
United Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $120.83 / $209.15	Professional		$86.37	$120.83	$209.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.69 / $181.20 / $188.40	Professional		$132.69	$181.20	$188.40