Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.12 / $241.12 / $241.12	Facility		$241.12	$241.12	$241.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.59 / $100.94 / $139.79	Professional		$82.59	$100.94	$139.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.22 / $592.48 / $609.73	Facility		$575.22	$592.48	$609.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.68 / $359.92 / $464.78	Professional		$105.68	$359.92	$464.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $183.25 / $262.54 / $465.27	Professional		$183.25	$262.54	$465.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $83.97 / $240.57 / $626.72	Facility		$83.97	$240.57	$626.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $265.81 / $1,584.74	Professional		$147.13	$265.81	$1,584.74
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.29 / $236.00 / $464.78	Facility		$82.29	$236.00	$464.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $82.29 / $237.72 / $448.07	Professional		$82.29	$237.72	$448.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $210.10 / $374.00 / $468.90	Professional		$210.10	$374.00	$468.90
United Facility/Professional Professional Modifier Low / Median / High Price $147.13 / $191.59 / $335.76	Professional		$147.13	$191.59	$335.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $249.40 / $315.70 / $371.50	Professional		$249.40	$315.70	$371.50