Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.06 / $300.41 / $309.42	Facility		$163.06	$300.41	$309.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $95.90 / $682.20	Professional		$95.90	$95.90	$682.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $173.80 / $295.01	Professional		$95.90	$173.80	$295.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $312.00 / $1,635.13	Professional		$95.90	$312.00	$1,635.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $108.03 / $235.65 / $2,188.02	Facility		$108.03	$235.65	$2,188.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $108.03 / $120.26 / $5,879.42	Professional		$108.03	$120.26	$5,879.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.75 / $220.59 / $1,402.01	Facility		$166.75	$220.59	$1,402.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.75 / $257.64 / $2,203.28	Professional		$166.75	$257.64	$2,203.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $192.43 / $2,115.90	Professional		$95.90	$192.43	$2,115.90
United Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $98.78 / $136.08	Professional		$95.90	$98.78	$136.08
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $118.22 / $118.22 / $118.22	Facility		$118.22	$118.22	$118.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $118.22 / $118.22	Professional		$93.39	$118.22	$118.22