Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $257.04 / $371.54	Facility		$102.33	$257.04	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $109.65 / $128.82	Professional		$93.33	$109.65	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $323.59	Professional		$257.04	$257.04	$323.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $173.78 / $245.47	Professional		$114.82	$173.78	$245.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $162.18 / $309.03	Facility		$134.90	$162.18	$309.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $134.90 / $537.03	Professional		$81.28	$134.90	$537.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $144.54 / $288.40	Professional		$131.83	$144.54	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $309.03	Facility		$134.90	$134.90	$309.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $338.84	Professional		$81.28	$81.28	$338.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Professional		$134.90	$134.90	$134.90