Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $192.28 / $267.20 / $515.01	Facility		$192.28	$267.20	$515.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.83 / $138.35 / $609.00	Professional		$109.83	$138.35	$609.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.29 / $259.02 / $323.79	Professional		$171.29	$259.02	$323.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $246.57 / $277.87	Professional		$142.63	$246.57	$277.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $185.42 / $365.13	Facility		$142.63	$185.42	$365.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $146.91 / $679.25	Professional		$85.58	$146.91	$679.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.16 / $261.52 / $367.37	Facility		$171.16	$261.52	$367.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $171.16 / $261.52 / $369.56	Professional		$171.16	$261.52	$369.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $142.63 / $254.59	Professional		$138.78	$142.63	$254.59
United Facility/Professional Professional Modifier Low / Median / High Price $85.58 / $85.58 / $310.93	Professional		$85.58	$85.58	$310.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $142.63 / $142.63	Professional		$142.63	$142.63	$142.63