Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.10 / $190.28 / $442.98	Facility		$136.10	$190.28	$442.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.78 / $111.61 / $187.68	Professional		$98.78	$111.61	$187.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $233.05 / $291.31	Professional		$154.08	$233.05	$291.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $211.35 / $272.61	Professional		$141.12	$211.35	$272.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.69 / $166.78 / $353.28	Facility		$85.69	$166.78	$353.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $132.13 / $641.45	Professional		$76.97	$132.13	$641.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $153.94 / $261.36 / $366.94	Facility		$153.94	$261.36	$366.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $261.36 / $353.58	Professional		$154.08	$261.36	$353.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $165.56 / $165.56 / $165.56	Facility		$165.56	$165.56	$165.56
United Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $76.97 / $310.74	Professional		$76.97	$76.97	$310.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.29 / $128.29 / $128.29	Professional		$128.29	$128.29	$128.29