Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.36 / $233.45 / $326.54	Facility		$129.36	$233.45	$326.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $104.40 / $116.40	Professional		$79.20	$104.40	$116.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.12 / $218.04 / $272.54	Professional		$144.12	$218.04	$272.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $210.00 / $344.81	Professional		$132.00	$210.00	$344.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $154.85 / $276.00	Facility		$120.00	$154.85	$276.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $120.00 / $471.05	Professional		$72.00	$120.00	$471.05
Midlands Facility/Professional Facility Modifier Low / Median / High Price $144.00 / $220.04 / $266.67	Facility		$144.00	$220.04	$266.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $220.04 / $306.00	Professional		$144.00	$220.04	$306.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $214.20	Professional		$120.00	$120.00	$214.20
United Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $303.48	Professional		$72.00	$72.00	$303.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Professional		$120.00	$120.00	$120.00