Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.08 / $219.45 / $219.45	Facility		$152.08	$219.45	$219.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $215.41 / $683.82	Professional		$160.00	$215.41	$683.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.38 / $174.38 / $217.97	Professional		$174.38	$174.38	$217.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.58 / $75.98 / $202.39	Professional		$44.58	$75.98	$202.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $190.00 / $219.45	Facility		$114.00	$190.00	$219.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.20 / $206.79 / $219.45	Professional		$119.20	$206.79	$219.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.26 / $114.00 / $190.00	Facility		$108.26	$114.00	$190.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $78.79 / $121.18 / $175.37	Professional		$78.79	$121.18	$175.37
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $465.75 / $465.75 / $465.75	Facility		$465.75	$465.75	$465.75
United Facility/Professional Professional Modifier Low / Median / High Price $192.12 / $217.10 / $230.39	Professional		$192.12	$217.10	$230.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Facility		$183.00	$183.00	$183.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $183.00 / $183.00	Professional		$183.00	$183.00	$183.00