Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $165.56 / $435.12	Facility		$108.00	$165.56	$435.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.53 / $82.55 / $533.58	Professional		$65.53	$82.55	$533.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $154.71 / $193.39	Professional		$102.21	$154.71	$193.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $148.93 / $391.54	Professional		$85.10	$148.93	$391.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.39 / $128.69 / $259.56	Facility		$81.39	$128.69	$259.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $102.21 / $450.55	Professional		$51.06	$102.21	$450.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $102.12 / $173.36 / $266.79	Facility		$102.12	$173.36	$266.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $102.21 / $175.31 / $249.59	Professional		$102.21	$175.31	$249.59
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $171.46 / $171.46 / $171.46	Facility		$171.46	$171.46	$171.46
United Facility/Professional Professional Modifier Low / Median / High Price $51.06 / $52.18 / $206.12	Professional		$51.06	$52.18	$206.12
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $85.10 / $85.10	Professional		$85.10	$85.10	$85.10