Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $86.18 / $86.18	Facility		$82.76	$86.18	$86.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.66 / $69.65 / $130.99	Professional		$45.66	$69.65	$130.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $124.04	Facility		$84.33	$88.85	$124.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $143.63 / $179.53	Professional		$88.85	$143.63	$179.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $107.12 / $127.37 / $140.12	Professional		$107.12	$127.37	$140.12
Medica Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $144.90 / $587.62	Facility		$70.84	$144.90	$587.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $53.90 / $62.54 / $154.07	Professional		$53.90	$62.54	$154.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $124.04 / $168.54	Facility		$123.68	$124.04	$168.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $101.60 / $146.59 / $237.02	Professional		$101.60	$146.59	$237.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $115.02 / $126.52 / $221.41	Professional		$115.02	$126.52	$221.41
United Facility/Professional Professional Modifier Low / Median / High Price $54.20 / $56.26 / $132.69	Professional		$54.20	$56.26	$132.69
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $110.50 / $110.50 / $110.50	Facility		$110.50	$110.50	$110.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $110.50 / $110.50	Professional		$87.30	$110.50	$110.50