Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.02 / $67.48 / $90.56	Professional		$60.02	$67.48	$90.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $135.00	Facility		$135.00	$135.00	$135.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $110.34 / $155.29	Professional		$61.34	$110.34	$155.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $69.87 / $73.12 / $96.61	Professional		$69.87	$73.12	$96.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $62.38 / $112.55 / $162.13	Facility		$62.38	$112.55	$162.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $63.37 / $113.76 / $511.00	Professional		$63.37	$113.76	$511.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $85.02 / $135.38 / $162.13	Facility		$85.02	$135.38	$162.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $85.02 / $124.96 / $162.13	Professional		$85.02	$124.96	$162.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $88.40 / $88.40 / $88.40	Professional		$88.40	$88.40	$88.40
United Facility/Professional Professional Modifier Low / Median / High Price $60.61 / $91.67 / $149.87	Professional		$60.61	$91.67	$149.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $103.50 / $126.70	Professional		$81.77	$103.50	$126.70