Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $81.00 / $120.19	Facility		$73.27	$81.00	$120.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.41 / $60.49 / $105.80	Professional		$46.41	$60.49	$105.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $110.77	Facility		$68.22	$68.22	$110.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $132.76 / $168.75	Professional		$68.22	$132.76	$168.75
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.10 / $109.27 / $118.13	Professional		$94.10	$109.27	$118.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.26 / $129.40 / $535.05	Facility		$63.26	$129.40	$535.05
Medica Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $57.20 / $137.60	Professional		$48.14	$57.20	$137.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $110.45 / $110.77 / $152.97	Facility		$110.45	$110.77	$152.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $90.73 / $130.91 / $211.70	Professional		$90.73	$130.91	$211.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $102.72 / $118.90 / $208.08	Professional		$102.72	$118.90	$208.08
United Facility/Professional Professional Modifier Low / Median / High Price $48.14 / $50.24 / $132.10	Professional		$48.14	$50.24	$132.10
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $95.67 / $95.67 / $95.67	Facility		$95.67	$95.67	$95.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $75.58 / $95.67 / $95.67	Professional		$75.58	$95.67	$95.67