Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $131.83 / $467.74	Facility		$120.23	$131.83	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $117.49 / $245.47	Professional		$72.44	$117.49	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $120.23 / $213.80	Facility		$117.49	$120.23	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $223.87 / $275.42	Professional		$120.23	$223.87	$275.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $199.53 / $208.93	Professional		$181.97	$199.53	$208.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $891.25	Facility		$125.89	$229.09	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $125.89 / $316.23	Professional		$87.10	$125.89	$316.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $478.63	Professional		$208.93	$245.47	$478.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $213.80 / $213.80	Facility		$213.80	$213.80	$213.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $251.19 / $416.87	Professional		$194.98	$251.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $141.25 / $275.42	Facility		$66.07	$141.25	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $95.50 / $165.96	Professional		$85.11	$95.50	$165.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $181.97 / $181.97	Professional		$141.25	$181.97	$181.97