Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $142.72 / $199.64	Facility		$79.09	$142.72	$199.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $63.83 / $71.17	Professional		$48.42	$63.83	$71.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.12 / $133.16 / $166.46	Professional		$88.12	$133.16	$166.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.70 / $108.62 / $132.80	Professional		$80.70	$108.62	$132.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.37 / $94.67 / $168.75	Facility		$73.37	$94.67	$168.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $73.37 / $296.13	Professional		$44.02	$73.37	$296.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $88.04 / $134.53 / $167.65	Facility		$88.04	$134.53	$167.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $134.53 / $187.09	Professional		$88.04	$134.53	$187.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $130.97	Professional		$73.37	$73.37	$130.97
United Facility/Professional Professional Modifier Low / Median / High Price $44.02 / $44.02 / $154.46	Professional		$44.02	$44.02	$154.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $73.37 / $73.37	Professional		$73.37	$73.37	$73.37