Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.81 / $222.81 / $222.81	Facility		$222.81	$222.81	$222.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.09 / $109.61 / $882.00	Professional		$78.09	$109.61	$882.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.77 / $151.29 / $225.78	Professional		$76.77	$151.29	$225.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.75 / $124.42 / $403.80	Professional		$82.75	$124.42	$403.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.19 / $154.47 / $234.68	Facility		$93.19	$154.47	$234.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.89 / $167.25 / $746.29	Professional		$91.89	$167.25	$746.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $114.00 / $194.39 / $257.83	Facility		$114.00	$194.39	$257.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.00 / $172.02 / $218.90	Professional		$105.00	$172.02	$218.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $78.33 / $139.82 / $168.80	Professional		$78.33	$139.82	$168.80
United Facility/Professional Professional Modifier Low / Median / High Price $88.06 / $133.66 / $221.10	Professional		$88.06	$133.66	$221.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $125.14 / $158.40 / $193.80	Professional		$125.14	$158.40	$193.80