Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $140.71 / $175.72	Facility		$60.00	$140.71	$175.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $74.23 / $297.00	Professional		$48.60	$74.23	$297.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.00 / $151.77	Facility		$50.00	$65.00	$151.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $161.91 / $202.39	Professional		$88.67	$161.91	$202.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $60.37 / $94.38 / $151.72	Professional		$60.37	$94.38	$151.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $48.60 / $114.03 / $351.19	Facility		$48.60	$114.03	$351.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $142.91 / $277.26	Professional		$84.85	$142.91	$277.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $153.84 / $186.70	Facility		$125.00	$153.84	$186.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $109.61 / $153.84 / $191.13	Professional		$109.61	$153.84	$191.13
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $131.40 / $367.92	Facility		$73.20	$131.40	$367.92
United Facility/Professional Professional Modifier Low / Median / High Price $84.85 / $123.42 / $204.16	Professional		$84.85	$123.42	$204.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $96.60 / $96.60 / $113.70	Professional		$96.60	$96.60	$113.70