Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.03 / $299.29 / $9,673.40	Facility		$235.03	$299.29	$9,673.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.32 / $106.33 / $994.75	Professional		$106.32	$106.33	$994.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.34 / $108.34 / $108.34	Facility		$108.34	$108.34	$108.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $166.69 / $208.36	Professional		$106.33	$166.69	$208.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $388.28 / $1,050.40	Professional		$106.33	$388.28	$1,050.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $196.32 / $417.50	Facility		$136.04	$196.32	$417.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $151.44 / $1,358.07	Professional		$136.04	$151.44	$1,358.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $163.25 / $203.33 / $256.41	Facility		$163.25	$203.33	$256.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $196.32 / $430.03	Professional		$163.25	$196.32	$430.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $161.99 / $213.36 / $289.14	Professional		$161.99	$213.36	$289.14
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $109.52 / $127.60	Professional		$106.33	$109.52	$127.60
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $136.04 / $136.04 / $136.04	Facility		$136.04	$136.04	$136.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $107.47 / $136.04 / $136.04	Professional		$107.47	$136.04	$136.04