Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.46 / $127.62 / $170.16	Facility		$91.46	$127.62	$170.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.42 / $112.66 / $342.36	Professional		$76.42	$112.66	$342.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $203.21 / $254.01	Professional		$121.48	$203.21	$254.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $152.27 / $308.68	Professional		$105.76	$152.27	$308.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $101.89 / $172.19 / $227.15	Facility		$101.89	$172.19	$227.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $113.45 / $181.53 / $674.51	Professional		$113.45	$181.53	$674.51
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.60 / $202.82 / $227.15	Facility		$161.60	$202.82	$227.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $201.15 / $272.33	Professional		$134.00	$201.15	$272.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.69 / $179.98 / $210.80	Professional		$104.69	$179.98	$210.80
United Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $128.66 / $239.49	Professional		$108.83	$128.66	$239.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $148.84 / $160.19 / $194.10	Professional		$148.84	$160.19	$194.10