Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.86 / $297.63 / $329.48	Facility		$185.86	$297.63	$329.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.06 / $106.06 / $118.25	Professional		$106.06	$106.06	$118.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $221.30 / $276.62	Professional		$146.29	$221.30	$276.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $134.10 / $164.58 / $623.08	Professional		$134.10	$164.58	$623.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.91 / $157.31 / $312.08	Facility		$121.91	$157.31	$312.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $121.91 / $592.16	Professional		$73.15	$121.91	$592.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.29 / $251.13 / $424.88	Facility		$146.29	$251.13	$424.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $146.29 / $267.17 / $318.19	Professional		$146.29	$267.17	$318.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.62 / $121.91 / $217.61	Professional		$118.62	$121.91	$217.61
United Facility/Professional Professional Modifier Low / Median / High Price $73.15 / $73.15 / $308.31	Professional		$73.15	$73.15	$308.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $121.91 / $121.91	Professional		$121.91	$121.91	$121.91