Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.10 / $151.77 / $212.29	Facility		$84.10	$151.77	$212.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.66 / $60.07 / $90.47	Professional		$51.66	$60.07	$90.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $118.16 / $177.98	Professional		$73.86	$118.16	$177.98
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 $60.07 / $101.52 / $317.20	Facility		$60.07	$101.52	$317.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $49.93 / $555.50	Professional		$32.17	$49.93	$555.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $72.94 / $148.58 / $222.19	Facility		$72.94	$148.58	$222.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.94 / $127.22 / $204.30	Professional		$72.94	$127.22	$204.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.40 / $86.40 / $86.40	Professional		$86.40	$86.40	$86.40
United Facility/Professional Professional Modifier Low / Median / High Price $31.34 / $49.69 / $85.30	Professional		$31.34	$49.69	$85.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.12 / $83.70 / $98.40	Professional		$66.12	$83.70	$98.40