Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.30 / $154.88 / $321.30	Facility		$83.30	$154.88	$321.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $81.55 / $156.63	Professional		$43.39	$81.55	$156.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $112.93 / $141.16	Professional		$71.45	$112.93	$141.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $102.27 / $163.46	Professional		$61.98	$102.27	$163.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $95.65 / $296.01	Facility		$61.98	$95.65	$296.01
Medica Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $61.98 / $169.58	Professional		$37.19	$61.98	$169.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $75.92 / $126.28 / $191.73	Facility		$75.92	$126.28	$191.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $126.28 / $178.54	Professional		$74.44	$126.28	$178.54
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $98.88 / $316.81 / $547.21	Facility		$98.88	$316.81	$547.21
United Facility/Professional Professional Modifier Low / Median / High Price $37.19 / $51.95 / $279.43	Professional		$37.19	$51.95	$279.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $61.98 / $61.98	Professional		$48.96	$61.98	$61.98