Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.62 / $125.49 / $277.76	Facility		$95.62	$125.49	$277.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.33 / $56.86 / $113.88	Professional		$50.33	$56.86	$113.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $118.81 / $148.51	Professional		$78.48	$118.81	$148.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $114.38 / $471.11	Professional		$65.36	$114.38	$471.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $84.97 / $183.30	Facility		$65.36	$84.97	$183.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $67.31 / $326.80	Professional		$39.22	$67.31	$326.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $133.13 / $183.30	Facility		$78.43	$133.13	$183.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $133.13 / $187.26	Professional		$78.48	$133.13	$187.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $116.67	Professional		$65.36	$65.36	$116.67
United Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $39.22 / $158.31	Professional		$39.22	$39.22	$158.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.36 / $65.36 / $65.36	Professional		$65.36	$65.36	$65.36