Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $150.78 / $177.40	Facility		$93.50	$150.78	$177.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $121.02 / $338.00	Professional		$79.00	$121.02	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.32 / $208.07 / $260.08	Professional		$122.32	$208.07	$260.08
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $109.60 / $149.85 / $290.14	Professional		$109.60	$149.85	$290.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.52 / $170.79 / $235.44	Facility		$104.52	$170.79	$235.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.05 / $172.07 / $707.45	Professional		$106.05	$172.07	$707.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $156.86 / $190.82 / $235.44	Facility		$156.86	$190.82	$235.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $170.79 / $256.73	Professional		$127.37	$170.79	$256.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.00 / $176.50 / $215.47	Professional		$102.00	$176.50	$215.47
United Facility/Professional Professional Modifier Low / Median / High Price $105.94 / $120.82 / $233.78	Professional		$105.94	$120.82	$233.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $164.90 / $199.80	Professional		$153.26	$164.90	$199.80