Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.56 / $173.25 / $227.16	Facility		$80.56	$173.25	$227.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $107.51 / $306.24	Professional		$66.20	$107.51	$306.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $143.90 / $245.63	Professional		$77.93	$143.90	$245.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $125.80 / $219.00	Professional		$70.48	$125.80	$219.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $122.68 / $188.99	Facility		$75.83	$122.68	$188.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.77 / $176.22 / $655.29	Professional		$100.77	$176.22	$655.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $98.27 / $141.74 / $212.00	Facility		$98.27	$141.74	$212.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $98.27 / $147.50 / $212.00	Professional		$98.27	$147.50	$212.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $119.35 / $131.38 / $188.19	Professional		$119.35	$131.38	$188.19
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $126.90 / $235.27	Professional		$100.09	$126.90	$235.27
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 / $179.20	Professional		$105.60	$129.19	$179.20