Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.24 / $198.94 / $278.27	Facility		$110.24	$198.94	$278.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $88.97 / $140.43	Professional		$78.73	$88.97	$140.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.82 / $185.40 / $231.74	Professional		$122.82	$185.40	$231.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.83 / $178.96 / $406.19	Professional		$127.83	$178.96	$406.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $102.26 / $131.96 / $235.20	Facility		$102.26	$131.96	$235.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $102.26 / $330.00	Professional		$61.36	$102.26	$330.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.71 / $187.50 / $227.24	Facility		$122.71	$187.50	$227.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $187.50 / $224.10	Professional		$122.71	$187.50	$224.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $182.53	Professional		$102.26	$102.26	$182.53
United Facility/Professional Professional Modifier Low / Median / High Price $61.36 / $61.36 / $222.93	Professional		$61.36	$61.36	$222.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.26 / $102.26 / $102.26	Professional		$102.26	$102.26	$102.26