Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $112.38 / $8,131.97	Facility		$88.28	$112.38	$8,131.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.84 / $159.06	Professional		$74.36	$75.84	$159.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $80.67 / $106.89	Professional		$74.36	$80.67	$106.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $84.92 / $179.00	Professional		$54.93	$84.92	$179.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $88.28 / $125.82	Facility		$74.45	$88.28	$125.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $82.88 / $1,209.31	Professional		$74.45	$82.88	$1,209.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $87.49 / $110.05 / $145.82	Facility		$87.49	$110.05	$145.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $94.79 / $152.16	Professional		$84.84	$94.79	$152.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $147.36 / $155.33	Professional		$75.58	$147.36	$155.33
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $76.59 / $88.49	Professional		$74.36	$76.59	$88.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $81.48 / $81.48 / $81.48	Facility		$81.48	$81.48	$81.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $64.37 / $81.48 / $81.48	Professional		$64.37	$81.48	$81.48