Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $222.53 / $222.53 / $222.53	Facility		$222.53	$222.53	$222.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.97 / $156.00 / $220.39	Professional		$87.97	$156.00	$220.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.12 / $250.55 / $313.18	Professional		$132.12	$250.55	$313.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $114.84 / $203.58	Professional		$58.56	$114.84	$203.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $152.54 / $214.53	Facility		$64.19	$152.54	$214.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $160.53 / $318.76	Professional		$78.26	$160.53	$318.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $176.10 / $282.83	Facility		$81.70	$176.10	$282.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $160.13 / $282.83	Professional		$81.70	$160.13	$282.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $187.05 / $212.97	Professional		$104.79	$187.05	$212.97
United Facility/Professional Facility Modifier Low / Median / High Price $76.53 / $125.23 / $152.54	Facility		$76.53	$125.23	$152.54
United Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $171.23 / $283.24	Professional		$70.59	$171.23	$283.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $175.80 / $206.80	Professional		$138.88	$175.80	$206.80