Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.90 / $100.22 / $190.34	Facility		$61.90	$100.22	$190.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $79.91 / $232.16	Professional		$59.50	$79.91	$232.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.61 / $139.32 / $174.15	Professional		$81.61	$139.32	$174.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $104.51 / $201.37	Professional		$73.43	$104.51	$201.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $114.75 / $156.47	Facility		$70.59	$114.75	$156.47
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.54 / $118.17 / $469.94	Professional		$74.54	$118.17	$469.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.72 / $132.80 / $156.47	Facility		$108.72	$132.80	$156.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $88.87 / $119.97 / $178.17	Professional		$88.87	$119.97	$178.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $119.45 / $145.38	Professional		$71.56	$119.45	$145.38
United Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $90.90 / $162.24	Professional		$73.98	$90.90	$162.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $102.70 / $110.50 / $133.90	Professional		$102.70	$110.50	$133.90