Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7,394.39 / $7,394.39 / $7,394.39	Facility		$7,394.39	$7,394.39	$7,394.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $387.22	Professional		$101.03	$101.03	$387.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.44 / $103.44 / $210.64	Facility		$103.44	$103.44	$210.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.44 / $131.81 / $235.28	Professional		$107.44	$131.81	$235.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $80.81 / $111.13 / $182.86	Professional		$80.81	$111.13	$182.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $151.75 / $214.51	Facility		$98.54	$151.75	$214.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.54 / $98.54 / $235.28	Professional		$98.54	$98.54	$235.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $120.49 / $126.56 / $158.54	Facility		$120.49	$126.56	$158.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $120.49 / $131.81 / $235.28	Professional		$120.49	$131.81	$235.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $204.70 / $204.70 / $249.00	Professional		$204.70	$204.70	$249.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $111.13	Professional		$101.03	$101.03	$111.13
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $98.54 / $98.54	Facility		$98.54	$98.54	$98.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $98.54 / $98.54	Professional		$77.84	$98.54	$98.54