Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.93 / $134.90 / $198.93	Facility		$115.93	$134.90	$198.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.00 / $82.83 / $220.26	Professional		$71.00	$82.83	$220.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.57 / $158.00 / $243.08	Professional		$52.57	$158.00	$243.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $133.80 / $204.85	Professional		$77.39	$133.80	$204.85
Medica Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $113.87 / $236.27	Facility		$71.00	$113.87	$236.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.49 / $177.94 / $604.04	Professional		$96.49	$177.94	$604.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $113.76 / $158.00 / $214.64	Facility		$113.76	$158.00	$214.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $113.76 / $160.30 / $216.18	Professional		$113.76	$160.30	$216.18
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $70.93 / $126.61 / $173.27	Professional		$70.93	$126.61	$173.27
United Facility/Professional Professional Modifier Low / Median / High Price $96.47 / $99.77 / $226.75	Professional		$96.47	$99.77	$226.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.30 / $170.90 / $202.30	Professional		$145.30	$170.90	$202.30