Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.12 / $144.59 / $309.14	Facility		$80.12	$144.59	$309.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $64.67 / $168.74	Professional		$57.23	$64.67	$168.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $135.13 / $168.91	Professional		$89.20	$135.13	$168.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $130.08 / $199.56	Professional		$74.33	$130.08	$199.56
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.33 / $95.92 / $204.03	Facility		$74.33	$95.92	$204.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $76.56 / $371.65	Professional		$44.60	$76.56	$371.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.20 / $148.19 / $204.03	Facility		$89.20	$148.19	$204.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.20 / $148.19 / $208.43	Professional		$89.20	$148.19	$208.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $132.68	Professional		$74.33	$74.33	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $44.60 / $44.60 / $176.21	Professional		$44.60	$44.60	$176.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.33 / $74.33 / $74.33	Professional		$74.33	$74.33	$74.33