Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.35 / $103.35 / $172.61	Facility		$103.35	$103.35	$172.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.79 / $748.30	Professional		$79.00	$79.79	$748.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.61 / $85.70 / $111.23	Professional		$76.61	$85.70	$111.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $65.88 / $86.90 / $172.80	Professional		$65.88	$86.90	$172.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $91.77 / $132.60	Facility		$78.45	$91.77	$132.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $87.34 / $6,210.38	Professional		$78.45	$87.34	$6,210.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $89.51 / $112.82 / $147.71	Facility		$89.51	$112.82	$147.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.99 / $97.28 / $161.96	Professional		$82.99	$97.28	$161.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $81.62 / $156.55 / $165.02	Professional		$81.62	$156.55	$165.02
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $81.37 / $94.80	Professional		$79.00	$81.37	$94.80
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $85.86 / $85.86 / $85.86	Facility		$85.86	$85.86	$85.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $67.83 / $85.86 / $85.86	Professional		$67.83	$85.86	$85.86