Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.11 / $184.31 / $245.76	Facility		$160.11	$184.31	$245.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.05 / $88.82 / $129.35	Professional		$66.05	$88.82	$129.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $118.90 / $230.83	Professional		$73.00	$118.90	$230.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $103.64 / $225.08	Professional		$68.38	$103.64	$225.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $129.35 / $218.60	Facility		$77.06	$129.35	$218.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $208.97 / $590.30	Professional		$95.00	$208.97	$590.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $168.56 / $199.58 / $234.05	Facility		$168.56	$199.58	$234.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $139.82 / $187.83 / $230.84	Professional		$139.82	$187.83	$230.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.40 / $102.51 / $167.47	Professional		$75.40	$102.51	$167.47
United Facility/Professional Professional Modifier Low / Median / High Price $90.27 / $152.03 / $258.45	Professional		$90.27	$152.03	$258.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $128.40 / $149.10 / $175.40	Professional		$128.40	$149.10	$175.40