Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.64 / $107.64 / $166.11	Facility		$107.64	$107.64	$166.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.53 / $261.16	Professional		$75.03	$76.53	$261.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.89 / $89.89 / $89.89	Facility		$89.89	$89.89	$89.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $85.62 / $116.57	Professional		$75.02	$85.62	$116.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $96.57 / $223.60	Professional		$75.03	$96.57	$223.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $107.64 / $144.28	Facility		$76.18	$107.64	$144.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $84.80 / $3,766.52	Professional		$76.18	$84.80	$3,766.52
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.83 / $116.57 / $156.91	Facility		$90.83	$116.57	$156.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.83 / $114.27 / $160.46	Professional		$90.83	$114.27	$160.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $148.93 / $159.90	Professional		$75.03	$148.93	$159.90
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $77.28 / $90.15	Professional		$75.03	$77.28	$90.15
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $83.37 / $83.37 / $83.37	Facility		$83.37	$83.37	$83.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $65.86 / $83.37 / $83.37	Professional		$65.86	$83.37	$83.37