Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.70 / $266.88 / $637.38	Facility		$245.70	$266.88	$637.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $111.58 / $356.90	Professional		$68.81	$111.58	$356.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.60 / $194.78 / $249.50	Professional		$131.60	$194.78	$249.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $136.02 / $249.67	Professional		$67.67	$136.02	$249.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $177.72 / $661.20	Facility		$104.81	$177.72	$661.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $101.79 / $183.83 / $684.38	Professional		$101.79	$183.83	$684.38
Midlands Facility/Professional Facility Modifier Low / Median / High Price $104.81 / $167.11 / $249.50	Facility		$104.81	$167.11	$249.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $134.00 / $183.75 / $253.17	Professional		$134.00	$183.75	$253.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $123.97 / $187.35	Professional		$68.55	$123.97	$187.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,204.00 / $1,640.00 / $2,126.00	Facility		$1,204.00	$1,640.00	$2,126.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $155.22 / $288.13	Professional		$92.94	$155.22	$288.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $133.50 / $157.00 / $228.00	Professional		$133.50	$157.00	$228.00