Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.80 / $2,473.90 / $3,596.15	Facility		$91.80	$2,473.90	$3,596.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.17 / $104.44 / $339.74	Professional		$56.17	$104.44	$339.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.14 / $153.84 / $186.34	Professional		$97.14	$153.84	$186.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $76.47 / $119.15 / $227.58	Professional		$76.47	$119.15	$227.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.02 / $153.84 / $191.18	Facility		$74.02	$153.84	$191.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.90 / $158.97 / $613.55	Professional		$99.90	$158.97	$613.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $159.18 / $193.29	Facility		$119.36	$159.18	$193.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $159.18 / $248.37	Professional		$119.36	$159.18	$248.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $76.87 / $133.38 / $173.40	Professional		$76.87	$133.38	$173.40
United Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $116.88 / $215.25	Professional		$94.02	$116.88	$215.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.05 / $115.20 / $139.60	Professional		$107.05	$115.20	$139.60