Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.23 / $118.98 / $118.98	Facility		$116.23	$118.98	$118.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.52 / $88.01 / $130.47	Professional		$60.52	$88.01	$130.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $164.49	Facility		$95.80	$96.73	$164.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.73 / $197.15 / $247.97	Professional		$96.73	$197.15	$247.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.06 / $166.72 / $206.72	Professional		$142.06	$166.72	$206.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $93.94 / $192.16 / $766.63	Facility		$93.94	$192.16	$766.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $84.23 / $204.33	Professional		$71.50	$84.23	$204.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $164.01 / $164.49 / $221.92	Facility		$164.01	$164.49	$221.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $194.40 / $314.37	Professional		$136.18	$194.40	$314.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $174.65 / $305.64	Professional		$152.53	$174.65	$305.64
United Facility/Professional Professional Modifier Low / Median / High Price $71.50 / $74.61 / $175.99	Professional		$71.50	$74.61	$175.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $146.55 / $146.55 / $146.55	Facility		$146.55	$146.55	$146.55
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $115.77 / $146.55 / $146.55	Professional		$115.77	$146.55	$146.55