Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $131.38 / $183.77	Facility		$56.46	$131.38	$183.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.72 / $52.00 / $78.45	Professional		$44.72	$52.00	$78.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.93 / $102.49 / $130.90	Professional		$63.93	$102.49	$130.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $48.93 / $74.23 / $149.40	Professional		$48.93	$74.23	$149.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $80.08 / $317.20	Facility		$52.00	$80.08	$317.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $25.18 / $43.10 / $481.72	Professional		$25.18	$43.10	$481.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.96 / $107.07 / $168.39	Facility		$62.96	$107.07	$168.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $62.96 / $107.07 / $176.96	Professional		$62.96	$107.07	$176.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $74.59 / $74.59	Professional		$74.59	$74.59	$74.59
United Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $43.01 / $73.84	Professional		$25.07	$43.01	$73.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $47.01 / $59.50 / $70.00	Professional		$47.01	$59.50	$70.00