Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.60 / $135.60 / $143.79	Facility		$135.60	$135.60	$143.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $104.72 / $175.20	Professional		$78.38	$104.72	$175.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.22 / $112.22 / $213.55	Facility		$112.22	$112.22	$213.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $182.52 / $226.13 / $282.66	Professional		$182.52	$226.13	$282.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $203.20 / $220.20	Professional		$184.43	$203.20	$220.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $230.52 / $908.81	Facility		$121.96	$230.52	$908.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $100.53 / $264.87	Professional		$86.98	$100.53	$264.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.93 / $213.55 / $264.87	Facility		$212.93	$213.55	$264.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.91 / $249.47 / $408.12	Professional		$174.91	$249.47	$408.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $195.15 / $209.01 / $353.47	Professional		$195.15	$209.01	$353.47
United Facility/Professional Professional Modifier Low / Median / High Price $86.21 / $96.86 / $253.70	Professional		$86.21	$96.86	$253.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $190.26 / $190.26 / $190.26	Facility		$190.26	$190.26	$190.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $190.26 / $190.26	Professional		$150.31	$190.26	$190.26