Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.89 / $133.35 / $189.20	Facility		$73.89	$133.35	$189.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.24 / $59.64 / $66.48	Professional		$45.24	$59.64	$66.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $124.68 / $155.86	Professional		$82.26	$124.68	$155.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $119.96 / $208.40	Professional		$68.55	$119.96	$208.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $68.55 / $82.33 / $157.66	Facility		$68.55	$82.33	$157.66
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $68.55 / $231.11	Professional		$35.72	$68.55	$231.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.26 / $97.01 / $150.24	Facility		$82.26	$97.01	$150.24
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $118.12 / $150.24	Professional		$82.26	$118.12	$150.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $122.36	Professional		$68.55	$68.55	$122.36
United Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $41.13 / $126.82	Professional		$35.72	$41.13	$126.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $68.55 / $68.55	Professional		$68.55	$68.55	$68.55