Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $192.38 / $352.89	Facility		$100.30	$192.38	$352.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $100.09 / $221.91	Professional		$100.09	$100.09	$221.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $119.91 / $119.91	Facility		$119.91	$119.91	$119.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.96 / $108.58 / $142.09	Professional		$98.96	$108.58	$142.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $144.16 / $207.04	Professional		$100.09	$144.16	$207.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $100.30 / $120.81 / $169.51	Facility		$100.30	$120.81	$169.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $111.65 / $428.03	Professional		$100.30	$111.65	$428.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $116.56 / $149.30 / $193.98	Facility		$116.56	$149.30	$193.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $126.03 / $222.71	Professional		$116.56	$126.03	$222.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.99 / $198.34 / $209.08	Professional		$104.99	$198.34	$209.08
United Facility/Professional Professional Modifier Low / Median / High Price $100.09 / $103.09 / $119.11	Professional		$100.09	$103.09	$119.11
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $109.76 / $109.76 / $109.76	Facility		$109.76	$109.76	$109.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $86.71 / $109.76 / $109.76	Professional		$86.71	$109.76	$109.76