Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $530.66 / $595.13	Facility		$51.00	$530.66	$595.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.65 / $64.79 / $227.77	Professional		$57.65	$64.79	$227.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $113.76 / $212.38	Professional		$61.40	$113.76	$212.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $57.31 / $80.16 / $198.74	Professional		$57.31	$80.16	$198.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.70 / $104.49 / $143.35	Facility		$65.70	$104.49	$143.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $112.97 / $384.82	Professional		$72.41	$112.97	$384.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $93.66 / $111.32 / $145.32	Facility		$93.66	$111.32	$145.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $115.96 / $163.44	Professional		$72.41	$115.96	$163.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $99.92 / $112.40	Professional		$55.98	$99.92	$112.40
United Facility/Professional Professional Modifier Low / Median / High Price $68.06 / $98.99 / $168.29	Professional		$68.06	$98.99	$168.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $85.60 / $100.80	Professional		$67.62	$85.60	$100.80