Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $288.40 / $416.87	Facility		$114.82	$288.40	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $190.55	Professional		$100.00	$125.89	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $288.40 / $363.08	Professional		$194.98	$288.40	$363.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $239.88 / $512.86	Professional		$165.96	$239.88	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $181.97 / $346.74	Facility		$151.36	$181.97	$346.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $154.88 / $602.56	Professional		$91.20	$154.88	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $194.98	Professional		$181.97	$181.97	$194.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $162.18 / $323.59	Professional		$151.36	$162.18	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $346.74	Facility		$151.36	$151.36	$346.74
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $380.19	Professional		$91.20	$91.20	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36