Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $892.50 / $892.50 / $892.50	Facility		$892.50	$892.50	$892.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $52.03 / $231.52	Professional		$39.69	$52.03	$231.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $100.71 / $114.09	Professional		$45.95	$100.71	$114.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $43.45 / $64.38 / $210.04	Professional		$43.45	$64.38	$210.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $62.43 / $104.87	Facility		$43.25	$62.43	$104.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $104.43 / $272.33	Professional		$61.18	$104.43	$272.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.58 / $100.71 / $111.98	Facility		$81.58	$100.71	$111.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.58 / $101.49 / $114.09	Professional		$81.58	$101.49	$114.09
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $39.32 / $70.11 / $84.66	Professional		$39.32	$70.11	$84.66
United Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $86.19 / $130.02	Professional		$47.67	$86.19	$130.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $68.02 / $86.10 / $101.30	Professional		$68.02	$86.10	$101.30