Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $131.83 / $257.04	Facility		$74.13	$131.83	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $70.79 / $446.68	Professional		$53.70	$70.79	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $141.25 / $173.78	Professional		$95.50	$141.25	$173.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $194.98	Professional		$81.28	$131.83	$194.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $186.21	Facility		$74.13	$89.13	$186.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $87.10 / $323.59	Professional		$43.65	$87.10	$323.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $95.50	Professional		$89.13	$89.13	$95.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $79.43 / $154.88	Professional		$74.13	$79.43	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $169.82	Facility		$74.13	$74.13	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $186.21	Professional		$43.65	$43.65	$186.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13