Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.38 / $107.33 / $252.00	Facility		$84.38	$107.33	$252.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $63.83 / $379.00	Professional		$48.42	$63.83	$379.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $133.16 / $166.46	Professional		$88.04	$133.16	$166.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $128.40 / $197.03	Professional		$73.37	$128.40	$197.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $95.38 / $187.83	Facility		$73.37	$95.38	$187.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $74.84 / $323.56	Professional		$44.02	$74.84	$323.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $134.53 / $171.38	Facility		$88.04	$134.53	$171.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.53 / $179.25	Professional		$88.04	$134.53	$179.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $130.97	Professional		$73.37	$73.37	$130.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $44.02 / $159.94	Professional		$44.02	$44.02	$159.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37