Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $331.13	Facility		$120.23	$223.87	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $575.44	Professional		$114.82	$177.83	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $169.82 / $338.84	Professional		$120.23	$169.82	$338.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $234.42 / $512.86	Professional		$131.83	$234.42	$512.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $316.23	Facility		$151.36	$245.47	$316.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $269.15 / $1,000.00	Professional		$173.78	$269.15	$1,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $275.42 / $446.68	Professional		$257.04	$275.42	$446.68
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $275.42	Professional		$257.04	$257.04	$275.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $223.87 / $398.11	Professional		$131.83	$223.87	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $208.93 / $380.19	Professional		$165.96	$208.93	$380.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $199.53	Professional		$154.88	$181.97	$199.53