Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.52 / $142.26 / $149.30	Facility		$60.52	$142.26	$149.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $73.53 / $73.53	Professional		$43.36	$73.53	$73.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.84 / $128.55 / $136.69	Professional		$102.84	$128.55	$136.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $87.38 / $150.00	Professional		$46.41	$87.38	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $124.27 / $1,623.00	Facility		$83.30	$124.27	$1,623.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.07 / $114.30 / $371.00	Professional		$60.07	$114.30	$371.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $111.47 / $144.05	Facility		$73.20	$111.47	$144.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $109.17 / $144.05	Professional		$81.00	$109.17	$144.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $89.80 / $98.90 / $123.10	Professional		$89.80	$98.90	$123.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,151.00 / $1,640.00 / $3,560.25	Facility		$1,151.00	$1,640.00	$3,560.25
United Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $97.58 / $153.75	Professional		$54.31	$97.58	$153.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $94.60 / $94.60 / $111.30	Professional		$94.60	$94.60	$111.30