Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.84 / $279.89 / $279.89	Facility		$226.84	$279.89	$279.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.62 / $129.62 / $129.62	Professional		$129.62	$129.62	$129.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $32.34 / $52.21	Professional		$25.88	$32.34	$52.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.65 / $143.13 / $150.00	Professional		$124.65	$143.13	$150.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $46.00 / $199.61	Facility		$28.31	$46.00	$199.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $38.68 / $153.91 / $200.25	Professional		$38.68	$153.91	$200.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $37.01 / $52.28	Facility		$28.31	$37.01	$52.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $28.31 / $38.68 / $56.88	Professional		$28.31	$38.68	$56.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $241.51 / $256.64 / $272.25	Professional		$241.51	$256.64	$272.25
United Facility/Professional Professional Modifier Low / Median / High Price $153.91 / $153.91 / $163.29	Professional		$153.91	$153.91	$163.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $106.63 / $134.97 / $134.97	Professional		$106.63	$134.97	$134.97