Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.20 / $336.03 / $634.54	Facility		$186.20	$336.03	$634.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.00 / $150.28 / $167.55	Professional		$114.00	$150.28	$167.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $314.00 / $392.50	Professional		$207.28	$314.00	$392.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $259.10 / $312.64	Professional		$172.73	$259.10	$312.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $172.73 / $224.55 / $442.19	Facility		$172.73	$224.55	$442.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $177.91 / $790.65	Professional		$103.64	$177.91	$790.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $207.28 / $316.72 / $418.77	Facility		$207.28	$316.72	$418.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $207.28 / $316.72 / $438.00	Professional		$207.28	$316.72	$438.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $308.32	Professional		$172.73	$172.73	$308.32
United Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $103.64 / $657.42	Professional		$103.64	$103.64	$657.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $172.73 / $172.73	Professional		$172.73	$172.73	$172.73