Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.44 / $294.27 / $472.62	Facility		$117.44	$294.27	$472.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.39 / $114.99 / $779.82	Professional		$98.39	$114.99	$779.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.50 / $187.91 / $204.38	Professional		$163.50	$187.91	$204.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $234.89 / $393.16	Professional		$150.00	$234.89	$393.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $115.88 / $192.43 / $472.09	Facility		$115.88	$192.43	$472.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $117.44 / $396.02	Professional		$73.79	$117.44	$396.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $188.06 / $222.28 / $407.13	Facility		$188.06	$222.28	$407.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $187.91 / $222.28 / $399.30	Professional		$187.91	$222.28	$399.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $156.59 / $334.13 / $577.13	Facility		$156.59	$334.13	$577.13
United Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $93.95 / $341.37	Professional		$73.79	$93.95	$341.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.71 / $156.59 / $156.59	Professional		$123.71	$156.59	$156.59