Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.94 / $562.79 / $669.90	Facility		$151.94	$562.79	$669.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.39 / $99.57 / $144.38	Professional		$88.39	$99.57	$144.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.62 / $323.02 / $332.44	Facility		$313.62	$323.02	$332.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $230.38 / $287.98	Professional		$93.94	$230.38	$287.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $147.44 / $272.51	Professional		$85.60	$147.44	$272.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $132.69 / $209.22 / $556.87	Facility		$132.69	$209.22	$556.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $176.62 / $734.89	Professional		$104.86	$176.62	$734.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $232.29 / $332.85	Facility		$184.00	$232.29	$332.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $179.00 / $209.22 / $332.85	Professional		$179.00	$209.22	$332.85
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $25.88 / $87.75 / $161.06	Professional		$25.88	$87.75	$161.06
United Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $133.69 / $209.79	Professional		$104.86	$133.69	$209.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $132.63 / $167.90 / $197.50	Professional		$132.63	$167.90	$197.50