Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.56 / $162.56 / $321.79	Facility		$162.56	$162.56	$321.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $125.66 / $212.15	Professional		$93.97	$125.66	$212.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $256.08	Facility		$130.59	$130.59	$256.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $271.13 / $338.91	Professional		$130.59	$271.13	$338.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $221.16 / $233.96 / $260.58	Professional		$221.16	$233.96	$260.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $146.24 / $276.35 / $1,089.41	Facility		$146.24	$276.35	$1,089.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.27 / $120.51 / $317.49	Professional		$104.27	$120.51	$317.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $255.33 / $256.08 / $317.49	Facility		$255.33	$256.08	$317.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $209.75 / $299.13 / $489.36	Professional		$209.75	$299.13	$489.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $250.57 / $423.87	Professional		$233.96	$250.57	$423.87
United Facility/Professional Professional Modifier Low / Median / High Price $103.34 / $116.14 / $305.36	Professional		$103.34	$116.14	$305.36
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $221.16 / $221.16 / $221.16	Facility		$221.16	$221.16	$221.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $174.72 / $221.16 / $221.16	Professional		$174.72	$221.16	$221.16