Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $127.11 / $185.48	Facility		$70.43	$127.11	$185.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $56.85 / $206.00	Professional		$50.31	$56.85	$206.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $118.81 / $148.51	Professional		$78.41	$118.81	$148.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $114.35 / $248.82	Professional		$65.34	$114.35	$248.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $79.38 / $150.28	Facility		$65.34	$79.38	$150.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $35.72 / $65.34 / $231.11	Professional		$35.72	$65.34	$231.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $78.41 / $97.01 / $143.19	Facility		$78.41	$97.01	$143.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.41 / $117.61 / $143.19	Professional		$78.41	$117.61	$143.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $116.63	Professional		$65.34	$65.34	$116.63
United Facility/Professional Professional Modifier Low / Median / High Price $37.90 / $39.20 / $121.93	Professional		$37.90	$39.20	$121.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.34 / $65.34 / $65.34	Professional		$65.34	$65.34	$65.34