Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.29 / $121.24 / $152.65	Facility		$105.29	$121.24	$152.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.31 / $100.49 / $173.85	Professional		$82.31	$100.49	$173.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $177.80 / $259.52	Professional		$101.60	$177.80	$259.52
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $156.63 / $222.21	Professional		$92.13	$156.63	$222.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $154.16 / $214.24	Facility		$96.00	$154.16	$214.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.99 / $192.98 / $702.61	Professional		$120.99	$192.98	$702.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $129.07 / $188.56 / $269.98	Facility		$129.07	$188.56	$269.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $129.07 / $185.01 / $224.38	Professional		$129.07	$185.01	$224.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $136.19 / $174.00 / $200.58	Professional		$136.19	$174.00	$200.58
United Facility/Professional Professional Modifier Low / Median / High Price $109.99 / $146.16 / $255.40	Professional		$109.99	$146.16	$255.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $163.19 / $188.90	Professional		$138.69	$163.19	$188.90