Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.70 / $143.49 / $191.33	Facility		$117.70	$143.49	$191.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.92 / $131.75 / $401.00	Professional		$85.92	$131.75	$401.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $134.78 / $242.18	Professional		$86.75	$134.78	$242.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.36 / $150.84 / $357.81	Professional		$92.36	$150.84	$357.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.07 / $175.07 / $228.74	Facility		$109.07	$175.07	$228.74
Medica Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $172.83 / $699.89	Professional		$123.39	$172.83	$699.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $198.89 / $302.19	Facility		$172.00	$198.89	$302.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $186.15 / $302.19	Professional		$127.00	$186.15	$302.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $158.50 / $220.50	Professional		$107.86	$158.50	$220.50
United Facility/Professional Professional Modifier Low / Median / High Price $117.54 / $134.60 / $260.45	Professional		$117.54	$134.60	$260.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $119.50 / $144.80	Professional		$111.07	$119.50	$144.80