Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $226.51 / $714.17	Facility		$107.22	$226.51	$714.17
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $274.14 / $696.80 / $696.80	Facility	25	$274.14	$696.80	$696.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.74 / $158.96 / $448.00	Professional		$95.74	$158.96	$448.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.96 / $193.06 / $489.00	Professional	25	$117.96	$193.06	$489.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.81 / $250.39 / $367.03	Professional		$124.81	$250.39	$367.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $133.08 / $211.87 / $335.83	Professional		$133.08	$211.87	$335.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.65 / $202.66 / $291.27	Facility		$127.65	$202.66	$291.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.69 / $259.75 / $1,127.38	Professional		$151.69	$259.75	$1,127.38
Medica Facility/Professional Professional Modifier 25 Low / Median / High Price $234.30 / $300.00 / $418.21	Professional	25	$234.30	$300.00	$418.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $273.99 / $350.32	Facility		$187.00	$273.99	$350.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $263.45 / $350.32	Professional		$176.38	$263.45	$350.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $234.69 / $336.20	Professional		$132.33	$234.69	$336.20
United Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $208.15 / $322.76	Professional		$145.94	$208.15	$322.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $203.03 / $257.00	Professional		$172.60	$203.03	$257.00