Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $562.34 / $676.08	Facility		$97.72	$562.34	$676.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $229.09	Professional		$81.28	$100.00	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $323.59 / $331.13	Facility		$316.23	$323.59	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $234.42 / $295.12	Professional		$125.89	$234.42	$295.12
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $147.91 / $346.74	Professional		$89.13	$147.91	$346.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $245.47 / $891.25	Facility		$131.83	$245.47	$891.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $181.97 / $741.31	Professional		$102.33	$181.97	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $234.42 / $281.84	Professional		$194.98	$234.42	$281.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $281.84	Professional		$186.21	$208.93	$281.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $74.13 / $162.18	Professional		$26.30	$74.13	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $794.33 / $1,071.52	Facility		$501.19	$794.33	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $234.42	Professional		$100.00	$125.89	$234.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $199.53	Professional		$169.82	$169.82	$199.53