Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $202.17 / $282.79	Facility		$112.03	$202.17	$282.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $80.02 / $120.51	Professional		$68.81	$80.02	$120.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $157.32 / $203.25	Professional		$98.38	$157.32	$203.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $116.12 / $195.53	Professional		$76.27	$116.12	$195.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $123.23 / $353.61	Facility		$80.02	$123.23	$353.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.89 / $66.29 / $739.96	Professional		$42.89	$66.29	$739.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $97.14 / $195.45 / $259.05	Facility		$97.14	$195.45	$259.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $169.45 / $271.88	Professional		$97.14	$169.45	$271.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $115.10	Professional		$115.10	$115.10	$115.10
United Facility/Professional Professional Modifier Low / Median / High Price $41.66 / $66.19 / $184.02	Professional		$41.66	$66.19	$184.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $74.66 / $94.50 / $111.20	Professional		$74.66	$94.50	$111.20