Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $125.54 / $193.37	Facility		$86.21	$125.54	$193.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $115.79 / $326.48	Professional		$70.04	$115.79	$326.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $155.78 / $268.88	Professional		$83.04	$155.78	$268.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.43 / $140.12 / $245.54	Professional		$75.43	$140.12	$245.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $132.88 / $206.44	Facility		$80.81	$132.88	$206.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $190.37 / $715.23	Professional		$115.00	$190.37	$715.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $105.52 / $159.59 / $232.08	Facility		$105.52	$159.59	$232.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $158.28 / $232.08	Professional		$105.52	$158.28	$232.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $141.88 / $207.45	Professional		$128.22	$141.88	$207.45
United Facility/Professional Professional Modifier Low / Median / High Price $110.64 / $141.25 / $256.91	Professional		$110.64	$141.25	$256.91
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 $113.40 / $138.69 / $196.90	Professional		$113.40	$138.69	$196.90