Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $227.35 / $227.35 / $227.35	Facility		$227.35	$227.35	$227.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $149.37 / $206.96	Professional		$130.79	$149.37	$206.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $476.91 / $491.22 / $505.52	Facility		$476.91	$491.22	$505.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $400.26 / $500.33	Professional		$164.47	$400.26	$500.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $235.28 / $458.38	Professional		$44.95	$235.28	$458.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $246.97 / $518.72	Facility		$119.55	$246.97	$518.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.55 / $243.00 / $1,031.22	Professional		$154.55	$243.00	$1,031.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $112.83 / $232.72 / $491.22	Facility		$112.83	$232.72	$491.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $278.52 / $434.58	Professional		$112.83	$278.52	$434.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $196.10 / $196.10 / $196.10	Professional		$196.10	$196.10	$196.10
United Facility/Professional Professional Modifier Low / Median / High Price $168.06 / $212.29 / $354.62	Professional		$168.06	$212.29	$354.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $208.40 / $263.80 / $310.30	Professional		$208.40	$263.80	$310.30