Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.92 / $92.92 / $304.43	Facility		$92.92	$92.92	$304.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $92.92	Professional		$82.08	$82.08	$92.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.95 / $82.07 / $99.48	Professional		$77.95	$82.07	$99.48
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $148.56 / $247.73	Professional		$82.08	$148.56	$247.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $92.92 / $138.43	Facility		$81.91	$92.92	$138.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $81.91 / $91.07 / $337.90	Professional		$81.91	$91.07	$337.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $91.83 / $99.48 / $117.85	Facility		$91.83	$99.48	$117.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $91.83 / $99.48 / $122.86	Professional		$91.83	$99.48	$122.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $162.93 / $171.46	Professional		$115.10	$162.93	$171.46
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $84.54 / $97.68	Professional		$82.08	$84.54	$97.68
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $89.63 / $89.63 / $89.63	Facility		$89.63	$89.63	$89.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $89.63 / $89.63	Professional		$70.81	$89.63	$89.63