Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.61 / $155.36 / $849.83	Facility		$63.61	$155.36	$849.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $53.60 / $85.06	Professional		$23.17	$53.60	$85.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $84.18 / $157.03	Professional		$27.94	$84.18	$157.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $24.95 / $69.13 / $175.08	Professional		$24.95	$69.13	$175.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.82 / $68.76 / $142.16	Facility		$28.82	$68.76	$142.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $141.54 / $373.14	Professional		$72.00	$141.54	$373.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $43.52 / $114.12 / $148.41	Facility		$43.52	$114.12	$148.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $112.62 / $155.65	Professional		$43.52	$112.62	$155.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $47.12 / $107.71	Professional		$22.02	$47.12	$107.71
United Facility/Professional Professional Modifier Low / Median / High Price $79.98 / $118.93 / $206.43	Professional		$79.98	$118.93	$206.43
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $41.80 / $89.60	Professional		$33.50	$41.80	$89.60