Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.10 / $117.23 / $193.00	Facility		$96.10	$117.23	$193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.36 / $57.15 / $326.00	Professional		$43.36	$57.15	$326.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $119.46 / $149.33	Professional		$78.83	$119.46	$149.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $114.96 / $176.82	Professional		$65.69	$114.96	$176.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.69 / $84.77 / $153.12	Facility		$65.69	$84.77	$153.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $65.69 / $260.54	Professional		$39.40	$65.69	$260.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.83 / $109.35 / $143.96	Facility		$78.83	$109.35	$143.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $118.52 / $144.33	Professional		$78.83	$118.52	$144.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $117.26	Professional		$65.69	$65.69	$117.26
United Facility/Professional Professional Modifier Low / Median / High Price $39.40 / $39.40 / $137.44	Professional		$39.40	$39.40	$137.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.69 / $65.69 / $65.69	Professional		$65.69	$65.69	$65.69