Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.73 / $186.73 / $187.88	Facility		$186.73	$186.73	$187.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $48.19 / $134.35	Professional		$22.20	$48.19	$134.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $61.24 / $134.85	Professional		$28.19	$61.24	$134.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $23.09 / $63.09 / $181.03	Professional		$23.09	$63.09	$181.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $62.12 / $129.91	Facility		$29.27	$62.12	$129.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.88 / $100.35 / $199.07	Professional		$53.88	$100.35	$199.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $98.26 / $129.91	Facility		$50.43	$98.26	$129.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $93.21 / $129.91	Professional		$47.06	$93.21	$129.91
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $48.16 / $96.61	Professional		$21.80	$48.16	$96.61
United Facility/Professional Professional Modifier Low / Median / High Price $52.14 / $78.18 / $126.77	Professional		$52.14	$78.18	$126.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $52.50 / $118.70	Professional		$42.90	$52.50	$118.70