Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.10 / $102.74 / $136.99	Facility		$89.10	$102.74	$136.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $106.93 / $252.61	Professional		$57.66	$106.93	$252.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $87.49 / $172.01	Professional		$61.49	$87.49	$172.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.63 / $101.86 / $296.13	Professional		$65.63	$101.86	$296.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.09 / $127.71 / $154.50	Facility		$78.09	$127.71	$154.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $116.00 / $526.09	Professional		$80.12	$116.00	$526.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.00 / $142.09 / $221.14	Facility		$116.00	$142.09	$221.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.81 / $133.31 / $221.14	Professional		$91.81	$133.31	$221.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $109.70 / $144.50	Professional		$69.84	$109.70	$144.50
United Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $87.41 / $160.97	Professional		$76.48	$87.41	$160.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $78.53 / $84.50 / $102.40	Professional		$78.53	$84.50	$102.40