Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.31 / $168.31 / $178.23	Facility		$168.31	$168.31	$178.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $129.97 / $217.57	Professional		$97.30	$129.97	$217.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.22 / $135.22 / $265.18	Facility		$135.22	$135.22	$265.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.22 / $280.88 / $351.09	Professional		$135.22	$280.88	$351.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $242.23 / $258.73	Professional		$229.02	$242.23	$258.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $151.44 / $286.13 / $1,128.10	Facility		$151.44	$286.13	$1,128.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $107.97 / $124.78 / $328.77	Professional		$107.97	$124.78	$328.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.39 / $265.18 / $328.77	Facility		$264.39	$265.18	$328.77
Midlands Facility/Professional Professional Modifier Low / Median / High Price $217.19 / $309.76 / $506.76	Professional		$217.19	$309.76	$506.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $242.23 / $259.43 / $438.91	Professional		$242.23	$259.43	$438.91
United Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $120.27 / $283.58	Professional		$107.00	$120.27	$283.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $229.02 / $229.02 / $229.02	Facility		$229.02	$229.02	$229.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $180.93 / $229.02 / $229.02	Professional		$180.93	$229.02	$229.02