Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $85.03 / $120.14	Facility		$53.95	$85.03	$120.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $82.50 / $248.94	Professional		$61.01	$82.50	$248.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $143.58 / $179.48	Professional		$85.94	$143.58	$179.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $74.76 / $106.03 / $201.98	Professional		$74.76	$106.03	$201.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $72.66 / $120.36 / $160.75	Facility		$72.66	$120.36	$160.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.18 / $121.45 / $476.33	Professional		$77.18	$121.45	$476.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $108.99 / $138.91 / $160.75	Facility		$108.99	$138.91	$160.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $138.91 / $185.15	Professional		$96.00	$138.91	$185.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $74.90 / $126.09 / $148.44	Professional		$74.90	$126.09	$148.44
United Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $84.19 / $159.94	Professional		$73.68	$84.19	$159.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $113.30 / $137.30	Professional		$105.31	$113.30	$137.30