Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $112.08 / $156.91	Facility		$112.08	$112.08	$156.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.66 / $89.66 / $112.08	Professional		$89.66	$89.66	$112.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $135.96 / $154.69	Professional		$123.75	$135.96	$154.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.61 / $247.75 / $290.50	Professional		$106.61	$247.75	$290.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $112.08 / $151.53 / $236.75	Facility		$112.08	$151.53	$236.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $180.58	Professional		$100.00	$100.00	$180.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.22 / $158.18 / $250.33	Facility		$128.22	$158.18	$250.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.22 / $158.18 / $250.33	Professional		$128.22	$158.18	$250.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $317.30 / $337.20 / $357.73	Professional		$317.30	$337.20	$357.73
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $106.09	Professional		$100.00	$100.00	$106.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $84.12 / $106.48 / $106.48	Professional		$84.12	$106.48	$106.48