Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.90 / $186.90 / $580.57	Facility		$186.90	$186.90	$580.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $186.90 / $502.14	Professional		$160.00	$186.90	$502.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.90 / $180.90 / $226.13	Professional		$180.90	$180.90	$226.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $219.41 / $321.38	Professional		$177.56	$219.41	$321.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $116.65 / $186.90 / $273.43	Facility		$116.65	$186.90	$273.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $180.67 / $240.95	Professional		$155.75	$180.67	$240.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $131.10 / $213.07 / $252.45	Facility		$131.10	$213.07	$252.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.32 / $213.07 / $334.31	Professional		$157.32	$213.07	$334.31
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $193.44 / $193.44 / $193.44	Facility		$193.44	$193.44	$193.44
United Facility/Professional Professional Modifier Low / Median / High Price $155.75 / $176.00 / $186.90	Professional		$155.75	$176.00	$186.90
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Facility		$177.56	$177.56	$177.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.56 / $177.56 / $177.56	Professional		$177.56	$177.56	$177.56