Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.52 / $253.59 / $553.89	Facility		$140.52	$253.59	$553.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.03 / $113.40 / $126.44	Professional		$86.03	$113.40	$126.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $236.97 / $296.20	Professional		$156.55	$236.97	$296.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $228.11 / $343.79	Professional		$130.35	$228.11	$343.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $130.35 / $201.42 / $403.34	Facility		$130.35	$201.42	$403.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $156.41 / $690.13	Professional		$78.20	$156.41	$690.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $265.54 / $403.34	Facility		$156.41	$265.54	$403.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $156.55 / $265.54 / $382.31	Professional		$156.55	$265.54	$382.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $130.35 / $232.67	Professional		$126.83	$130.35	$232.67
United Facility/Professional Professional Modifier Low / Median / High Price $78.20 / $78.20 / $315.73	Professional		$78.20	$78.20	$315.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $130.35 / $130.35 / $130.35	Professional		$130.35	$130.35	$130.35