Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $105.88 / $143.41	Facility		$78.86	$105.88	$143.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.03 / $73.00 / $151.30	Professional		$48.03	$73.00	$151.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.45 / $104.49 / $183.68	Professional		$58.45	$104.49	$183.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $101.59 / $268.79	Professional		$53.42	$101.59	$268.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $64.05 / $121.36 / $170.25	Facility		$64.05	$121.36	$170.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $94.66 / $150.38 / $542.94	Professional		$94.66	$150.38	$542.94
Midlands Facility/Professional Facility Modifier Low / Median / High Price $111.20 / $142.00 / $281.36	Facility		$111.20	$142.00	$281.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $104.49 / $141.72 / $281.36	Professional		$104.49	$141.72	$281.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.75 / $91.75 / $178.40	Professional		$68.75	$91.75	$178.40
United Facility/Professional Professional Modifier Low / Median / High Price $87.43 / $118.97 / $199.81	Professional		$87.43	$118.97	$199.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $66.40 / $80.40 / $106.00	Professional		$66.40	$80.40	$106.00