Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $347.00 / $506.00	Facility		$137.97	$347.00	$506.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.62 / $125.97 / $207.53	Professional		$99.62	$125.97	$207.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.06 / $249.98 / $338.17	Professional		$134.06	$249.98	$338.17
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $170.11 / $1,048.08	Professional		$78.15	$170.11	$1,048.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.23 / $180.02 / $576.41	Facility		$109.23	$180.02	$576.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.48 / $368.91 / $858.36	Professional		$206.48	$368.91	$858.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $134.06 / $263.94 / $331.05	Facility		$134.06	$263.94	$331.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.32 / $284.88 / $413.43	Professional		$145.32	$284.88	$413.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $129.00 / $1,203.95 / $1,381.77	Professional		$129.00	$1,203.95	$1,381.77
United Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $368.91 / $539.49	Professional		$213.51	$368.91	$539.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $80.00 / $80.00	Professional		$63.20	$80.00	$80.00