Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $169.82	Facility		$61.66	$117.49	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $114.82 / $245.47	Professional		$57.54	$114.82	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $154.88	Professional		$61.66	$85.11	$154.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $316.23	Professional		$67.61	$120.23	$316.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $123.03 / $162.18	Facility		$77.62	$123.03	$162.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $125.89 / $524.81	Professional		$79.43	$125.89	$524.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $141.25 / $229.09	Professional		$131.83	$141.25	$229.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $141.25	Professional		$131.83	$131.83	$141.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $177.83	Professional		$67.61	$125.89	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.50 / $169.82	Professional		$75.86	$95.50	$169.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $102.33	Professional		$79.43	$93.33	$102.33