Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.37 / $247.90 / $473.23	Facility		$137.37	$247.90	$473.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.12 / $110.86 / $186.42	Professional		$98.12	$110.86	$186.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $231.74 / $289.68	Professional		$152.91	$231.74	$289.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $191.15 / $253.87	Professional		$127.43	$191.15	$253.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.43 / $165.66 / $326.22	Facility		$127.43	$165.66	$326.22
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $131.25 / $589.64	Professional		$76.45	$131.25	$589.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $152.91 / $233.66 / $312.32	Facility		$152.91	$233.66	$312.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.91 / $233.66 / $324.95	Professional		$152.91	$233.66	$324.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $227.46	Professional		$127.43	$127.43	$227.46
United Facility/Professional Professional Modifier Low / Median / High Price $76.45 / $76.45 / $277.80	Professional		$76.45	$76.45	$277.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $127.43 / $127.43 / $127.43	Professional		$127.43	$127.43	$127.43