Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.81 / $164.33 / $363.44	Facility		$116.81	$164.33	$363.44
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $398.40 / $398.40 / $398.40	Facility	25	$398.40	$398.40	$398.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.40 / $146.00 / $432.95	Professional		$98.40	$146.00	$432.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.16 / $228.76 / $285.95	Professional		$150.16	$228.76	$285.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $187.80 / $340.86	Professional		$120.67	$187.80	$340.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.77 / $199.79 / $260.47	Facility		$115.77	$199.79	$260.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.22 / $221.17 / $827.90	Professional		$145.22	$221.17	$827.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.25 / $245.04 / $261.14	Facility		$188.25	$245.04	$261.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.32 / $242.60 / $345.05	Professional		$166.32	$242.60	$345.05
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $122.90 / $211.81 / $245.50	Professional		$122.90	$211.81	$245.50
United Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $158.71 / $307.11	Professional		$136.00	$158.71	$307.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.90 / $181.70 / $220.20	Professional		$168.90	$181.70	$220.20