Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $151.94 / $151.94	Facility		$151.94	$151.94	$151.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.93 / $105.09 / $151.80	Professional		$95.93	$105.09	$151.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.77 / $326.27 / $335.78	Facility		$316.77	$326.27	$335.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $266.83 / $333.55	Professional		$102.86	$266.83	$333.55
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $97.71 / $146.84 / $289.77	Professional		$97.71	$146.84	$289.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $128.66 / $224.66 / $513.16	Facility		$128.66	$224.66	$513.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $169.83 / $780.47	Professional		$104.19	$169.83	$780.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $172.00 / $241.23 / $383.78	Facility		$172.00	$241.23	$383.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $224.66 / $310.45	Professional		$157.00	$224.66	$310.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $152.50 / $152.50 / $292.60	Professional		$152.50	$152.50	$292.60
United Facility/Professional Professional Modifier Low / Median / High Price $104.19 / $132.86 / $223.49	Professional		$104.19	$132.86	$223.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $152.94 / $193.60 / $227.70	Professional		$152.94	$193.60	$227.70