Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $125.89 / $125.89	Facility		$107.15	$125.89	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $181.97	Professional		$100.00	$125.89	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $223.87 / $354.81	Professional		$102.33	$223.87	$354.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $218.78	Professional		$114.82	$151.36	$218.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $147.91 / $245.47	Facility		$125.89	$147.91	$245.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $223.87 / $831.76	Professional		$109.65	$223.87	$831.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $223.87 / $371.54	Professional		$165.96	$223.87	$371.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Facility		$181.97	$181.97	$181.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $338.84	Professional		$134.90	$199.53	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $144.54 / $281.84	Professional		$109.65	$144.54	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $346.74	Professional		$109.65	$186.21	$346.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $177.83 / $213.80	Professional		$144.54	$177.83	$213.80