Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $260.94 / $364.99	Facility		$134.13	$260.94	$364.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.53 / $116.69 / $130.11	Professional		$88.53	$116.69	$130.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $244.15 / $305.18	Professional		$160.96	$244.15	$305.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $147.54 / $150.00 / $242.78	Professional		$147.54	$150.00	$242.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.13 / $173.36 / $343.37	Facility		$134.13	$173.36	$343.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $83.16 / $432.85	Professional		$80.48	$83.16	$432.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $187.78 / $293.97	Facility		$160.96	$187.78	$293.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $160.96 / $234.73 / $313.86	Professional		$160.96	$234.73	$313.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $239.42	Professional		$134.13	$134.13	$239.42
United Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $80.48 / $274.63	Professional		$80.48	$80.48	$274.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $134.13 / $134.13 / $134.13	Professional		$134.13	$134.13	$134.13