Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.74 / $97.74 / $143.79	Facility		$97.74	$97.74	$143.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $88.21 / $134.78	Professional		$56.38	$88.21	$134.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.79 / $128.79 / $174.15	Facility		$128.79	$128.79	$174.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.79 / $139.13 / $174.15	Professional		$128.79	$139.13	$174.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $103.99 / $162.56 / $176.16	Professional		$103.99	$162.56	$176.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $205.01 / $532.72	Facility		$88.21	$205.01	$532.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $102.35 / $265.26	Professional		$86.98	$102.35	$265.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.15 / $187.98 / $237.47	Facility		$174.15	$187.98	$237.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $174.15 / $208.25 / $366.29	Professional		$174.15	$208.25	$366.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.80 / $123.34 / $214.38	Professional		$106.80	$123.34	$214.38
United Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $96.86 / $166.27	Professional		$86.98	$96.86	$166.27
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $155.15 / $155.15 / $155.15	Facility		$155.15	$155.15	$155.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $122.57 / $155.15 / $155.15	Professional		$122.57	$155.15	$155.15