Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.25 / $239.68 / $239.68	Facility		$84.25	$239.68	$239.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.06 / $110.72 / $173.23	Professional		$85.06	$110.72	$173.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $65.00 / $65.00	Facility		$65.00	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.42 / $227.27 / $395.65	Professional		$99.42	$227.27	$395.65
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $83.40 / $128.55 / $424.75	Professional		$83.40	$128.55	$424.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.98 / $194.27 / $266.83	Facility		$108.98	$194.27	$266.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.81 / $203.10 / $741.22	Professional		$98.81	$203.10	$741.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $173.00 / $207.34 / $228.01	Facility		$173.00	$207.34	$228.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $195.25 / $241.40	Professional		$130.29	$195.25	$241.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $154.56 / $178.95	Professional		$86.59	$154.56	$178.95
United Facility/Professional Professional Modifier Low / Median / High Price $97.56 / $164.96 / $241.24	Professional		$97.56	$164.96	$241.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.24 / $156.00 / $183.60	Professional		$123.24	$156.00	$183.60