Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $185.87 / $224.10	Facility		$65.95	$185.87	$224.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.04 / $85.53 / $344.00	Professional		$66.04	$85.53	$344.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $65.00 / $141.66	Facility		$50.00	$65.00	$141.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $161.69 / $225.07	Professional		$99.83	$161.69	$225.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $111.79 / $259.31	Professional		$72.56	$111.79	$259.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.11 / $158.47 / $271.89	Facility		$78.11	$158.47	$271.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $174.27 / $513.00	Professional		$96.45	$174.27	$513.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.66 / $168.85 / $208.73	Facility		$141.66	$168.85	$208.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.62 / $169.66 / $212.24	Professional		$128.62	$169.66	$212.24
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $299.08 / $621.29 / $1,739.64	Facility		$299.08	$621.29	$1,739.64
United Facility/Professional Professional Modifier Low / Median / High Price $92.59 / $134.66 / $222.76	Professional		$92.59	$134.66	$222.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $120.90 / $142.19 / $152.19	Professional		$120.90	$142.19	$152.19