Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.93 / $224.44 / $224.44	Facility		$78.93	$224.44	$224.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.91 / $98.30 / $357.00	Professional		$79.91	$98.30	$357.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.00 / $164.84	Facility		$50.00	$65.00	$164.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.09 / $172.62 / $224.20	Professional		$91.09	$172.62	$224.20
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $66.29 / $110.47 / $144.41	Professional		$66.29	$110.47	$144.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.34 / $146.52 / $387.55	Facility		$81.34	$146.52	$387.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.57 / $166.60 / $320.38	Professional		$99.57	$166.60	$320.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $146.52 / $170.18 / $203.03	Facility		$146.52	$170.18	$203.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $117.00 / $170.18 / $211.33	Professional		$117.00	$170.18	$211.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $86.28 / $86.28 / $86.28	Facility		$86.28	$86.28	$86.28
United Facility/Professional Professional Modifier Low / Median / High Price $93.28 / $135.68 / $224.43	Professional		$93.28	$135.68	$224.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.60 / $106.60 / $125.40	Professional		$106.60	$106.60	$125.40