Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.42 / $36.75 / $380.80	Facility		$27.42	$36.75	$380.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.85 / $70.72 / $177.68	Professional		$38.85	$70.72	$177.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $113.45 / $116.76	Facility		$110.15	$113.45	$116.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $187.72 / $234.65	Professional		$91.12	$187.72	$234.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $103.19 / $211.02	Professional		$70.48	$103.19	$211.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.72 / $104.61 / $198.05	Facility		$70.72	$104.61	$198.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $130.38 / $898.00	Professional		$65.95	$130.38	$898.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $159.19 / $270.58	Facility		$84.24	$159.19	$270.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $159.19 / $214.02	Professional		$81.00	$159.19	$214.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $73.59 / $214.70	Professional		$61.10	$73.59	$214.70
United Facility/Professional Professional Modifier Low / Median / High Price $58.52 / $93.67 / $166.40	Professional		$58.52	$93.67	$166.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $141.69 / $166.70	Professional		$141.69	$141.69	$166.70