Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.96 / $191.08 / $493.09	Facility		$168.96	$191.08	$493.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $113.60 / $241.12	Professional		$57.03	$113.60	$241.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.90 / $237.83 / $244.75	Facility		$230.90	$237.83	$244.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.41 / $185.89 / $249.16	Professional		$152.41	$185.89	$249.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $150.00 / $268.02	Professional		$108.05	$150.00	$268.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $184.17 / $324.14	Facility		$75.52	$184.17	$324.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $125.83 / $306.00	Professional		$77.44	$125.83	$306.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $124.30 / $244.75 / $430.22	Facility		$124.30	$244.75	$430.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.30 / $229.30 / $290.26	Professional		$124.30	$229.30	$290.26
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $577.01 / $2,657.66 / $4,590.50	Facility		$577.01	$2,657.66	$4,590.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $64.98 / $160.38	Professional		$35.86	$64.98	$160.38
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $104.05 / $174.63	Professional		$79.80	$104.05	$174.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $67.95 / $67.95	Professional		$53.69	$67.95	$67.95