Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.76 / $293.76 / $293.76	Facility		$293.76	$293.76	$293.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $111.97 / $151.30	Professional		$95.07	$111.97	$151.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.05 / $415.14 / $427.23	Facility		$403.05	$415.14	$427.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.16 / $248.22 / $333.18	Professional		$111.16	$248.22	$333.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.89 / $173.29 / $442.05	Professional		$93.89	$173.29	$442.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $160.91 / $264.05 / $1,144.83	Facility		$160.91	$264.05	$1,144.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.49 / $204.39 / $1,186.72	Professional		$116.49	$204.39	$1,186.72
Midlands Facility/Professional Facility Modifier Low / Median / High Price $202.40 / $251.52 / $415.14	Facility		$202.40	$251.52	$415.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $190.67 / $236.12 / $360.01	Professional		$190.67	$236.12	$360.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $79.45 / $176.77	Professional		$42.84	$79.45	$176.77
United Facility/Professional Professional Modifier Low / Median / High Price $105.90 / $137.90 / $224.70	Professional		$105.90	$137.90	$224.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $143.46 / $181.60 / $213.60	Professional		$143.46	$181.60	$213.60