Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.05 / $128.68 / $35,685.76	Facility		$101.05	$128.68	$35,685.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $11,088.00	Professional		$85.12	$85.96	$11,088.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.98 / $101.98 / $101.98	Facility		$101.98	$101.98	$101.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $88.53 / $111.00	Professional		$85.12	$88.53	$111.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $102.24 / $195.48	Professional		$62.87	$102.24	$195.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $85.25 / $101.05 / $144.07	Facility		$85.25	$101.05	$144.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $94.90 / $370.33	Professional		$85.25	$94.90	$370.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $100.64 / $127.88 / $157.38	Facility		$100.64	$127.88	$157.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $100.64 / $111.00 / $129.16	Professional		$100.64	$111.00	$129.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $86.27 / $168.68 / $177.81	Professional		$86.27	$168.68	$177.81
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $89.38 / $114.73	Professional		$85.12	$89.38	$114.73
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $93.29 / $93.29 / $93.29	Facility		$93.29	$93.29	$93.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $73.70 / $93.29 / $93.29	Professional		$73.70	$93.29	$93.29