Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $119.89 / $185.04	Facility		$80.56	$119.89	$185.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $110.75 / $352.00	Professional		$65.81	$110.75	$352.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $148.54 / $257.18	Professional		$77.93	$148.54	$257.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $132.91 / $241.32	Professional		$70.48	$132.91	$241.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $124.10 / $197.51	Facility		$75.83	$124.10	$197.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $182.92 / $685.73	Professional		$107.00	$182.92	$685.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $149.41 / $221.89	Facility		$98.27	$149.41	$221.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $148.54 / $221.89	Professional		$98.27	$148.54	$221.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $131.38 / $197.26	Professional		$119.83	$131.38	$197.26
United Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $136.65 / $245.13	Professional		$105.57	$136.65	$245.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $129.19 / $187.80	Professional		$105.60	$129.19	$187.80