Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.83 / $83.83 / $161.81	Facility		$83.83	$83.83	$161.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $73.94 / $141.27	Professional		$73.94	$73.94	$141.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $80.20 / $104.94	Professional		$71.70	$80.20	$104.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $77.95 / $152.76	Professional		$51.14	$77.95	$152.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $73.55 / $83.83 / $124.30	Facility		$73.55	$83.83	$124.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $81.88 / $310.70	Professional		$73.55	$81.88	$310.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $83.80 / $105.56 / $139.84	Facility		$83.80	$105.56	$139.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $91.48 / $131.16	Professional		$70.59	$91.48	$131.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $146.77 / $154.44	Professional		$103.30	$146.77	$154.44
United Facility/Professional Professional Modifier Low / Median / High Price $73.94 / $76.16 / $87.99	Professional		$73.94	$76.16	$87.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $80.48 / $80.48 / $80.48	Facility		$80.48	$80.48	$80.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $63.59 / $80.48 / $80.48	Professional		$63.59	$80.48	$80.48