Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $118.80 / $189.72	Facility		$61.18	$118.80	$189.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.05 / $81.90 / $429.00	Professional		$54.05	$81.90	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $127.30 / $159.12	Professional		$84.31	$127.30	$159.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.22 / $121.00 / $232.40	Professional		$77.22	$121.00	$232.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $90.59 / $179.71	Facility		$70.20	$90.59	$179.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $70.20 / $340.18	Professional		$42.12	$70.20	$340.18
Midlands Facility/Professional Facility Modifier Low / Median / High Price $84.24 / $143.00 / $226.56	Facility		$84.24	$143.00	$226.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.24 / $143.00 / $192.11	Professional		$84.24	$143.00	$192.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.30 / $70.20 / $125.31	Professional		$68.30	$70.20	$125.31
United Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $170.02	Professional		$42.12	$42.12	$170.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $70.20 / $70.20	Professional		$70.20	$70.20	$70.20