Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $75.93 / $90.14	Facility		$75.93	$75.93	$90.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.16 / $84.89 / $111.43	Professional		$70.16	$84.89	$111.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $163.56 / $298.23	Professional		$87.05	$163.56	$298.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $81.70 / $140.63 / $296.80	Professional		$81.70	$140.63	$296.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.93 / $148.94 / $212.59	Facility		$75.93	$148.94	$212.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.47 / $183.78 / $721.97	Professional		$110.47	$183.78	$721.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $122.76 / $168.26 / $255.75	Facility		$122.76	$168.26	$255.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $124.82 / $168.26 / $239.80	Professional		$124.82	$168.26	$239.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $191.20 / $278.00	Professional		$131.80	$191.20	$278.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.45 / $145.49 / $233.20	Professional		$105.45	$145.49	$233.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $119.70 / $145.30	Professional		$97.57	$119.70	$145.30