Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $89.13 / $107.15	Facility		$70.79	$89.13	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $75.86 / $128.82	Professional		$56.23	$75.86	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $83.18 / $190.55	Professional		$57.54	$83.18	$190.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $77.62 / $269.15	Professional		$56.23	$77.62	$269.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $169.82	Facility		$63.10	$95.50	$169.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $162.18 / $489.78	Professional		$79.43	$162.18	$489.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $204.17	Professional		$151.36	$173.78	$204.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $213.80	Professional		$186.21	$186.21	$213.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $158.49	Professional		$61.66	$93.33	$158.49
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $208.93	Professional		$77.62	$123.03	$208.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $144.54	Professional		$107.15	$123.03	$144.54