Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $161.47 / $225.86	Facility		$89.47	$161.47	$225.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.78 / $72.20 / $80.51	Professional		$54.78	$72.20	$80.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.68 / $150.80 / $188.50	Professional		$99.68	$150.80	$188.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $91.30 / $145.25 / $361.23	Professional		$91.30	$145.25	$361.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.00 / $107.10 / $193.05	Facility		$83.00	$107.10	$193.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $45.59 / $83.00 / $318.74	Professional		$45.59	$83.00	$318.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $152.18 / $181.90	Facility		$99.60	$152.18	$181.90
Midlands Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $152.18 / $188.15	Professional		$99.60	$152.18	$188.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $148.16	Professional		$83.00	$83.00	$148.16
United Facility/Professional Professional Modifier Low / Median / High Price $44.39 / $49.80 / $180.94	Professional		$44.39	$49.80	$180.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.00 / $83.00 / $83.00	Professional		$83.00	$83.00	$83.00