Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.37 / $363.63 / $460.44	Facility		$146.37	$363.63	$460.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.28 / $104.55 / $406.19	Professional		$62.28	$104.55	$406.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.99 / $232.77 / $239.55	Facility		$225.99	$232.77	$239.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.18 / $162.90 / $203.62	Professional		$141.18	$162.90	$203.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $107.12 / $215.75	Professional		$65.38	$107.12	$215.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $134.47 / $161.01 / $205.70	Facility		$134.47	$161.01	$205.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $115.00 / $268.45	Professional		$76.53	$115.00	$268.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $161.00 / $240.00	Facility		$130.00	$161.00	$240.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $150.85 / $188.56	Professional		$118.00	$150.85	$188.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $66.27 / $73.26 / $127.47	Professional		$66.27	$73.26	$127.47
United Facility/Professional Professional Modifier Low / Median / High Price $76.53 / $90.59 / $134.27	Professional		$76.53	$90.59	$134.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $103.17 / $130.60 / $153.69	Professional		$103.17	$130.60	$153.69