Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.61 / $242.92 / $339.79	Facility		$134.61	$242.92	$339.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $108.64 / $418.20	Professional		$96.15	$108.64	$418.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.97 / $226.52 / $283.14	Professional		$149.97	$226.52	$283.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $137.36 / $218.52 / $328.39	Professional		$137.36	$218.52	$328.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $123.16 / $156.46 / $287.20	Facility		$123.16	$156.46	$287.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $124.87 / $479.32	Professional		$74.92	$124.87	$479.32
Midlands Facility/Professional Facility Modifier Low / Median / High Price $149.84 / $228.97 / $273.66	Facility		$149.84	$228.97	$273.66
Midlands Facility/Professional Professional Modifier Low / Median / High Price $149.84 / $228.97 / $282.92	Professional		$149.84	$228.97	$282.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $222.89	Professional		$124.87	$124.87	$222.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $74.92 / $272.22	Professional		$74.92	$74.92	$272.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $124.87 / $124.87 / $124.87	Professional		$124.87	$124.87	$124.87