Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $86.06 / $86.06	Facility		$86.06	$86.06	$86.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.30 / $74.56 / $311.01	Professional		$45.30	$74.56	$311.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $114.84 / $188.16	Professional		$61.23	$114.84	$188.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $61.44 / $98.00 / $256.83	Professional		$61.44	$98.00	$256.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $69.76 / $132.51 / $327.62	Facility		$69.76	$132.51	$327.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $119.97 / $951.12	Professional		$62.88	$119.97	$951.12
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $104.80 / $141.00	Facility		$82.70	$104.80	$141.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $80.50 / $116.18 / $163.93	Professional		$80.50	$116.18	$163.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $57.27 / $102.23 / $109.62	Professional		$57.27	$102.23	$109.62
United Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $64.77 / $152.51	Professional		$62.88	$64.77	$152.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.70 / $125.60 / $125.60	Professional		$106.70	$125.60	$125.60