Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $145.19 / $145.19	Facility		$145.19	$145.19	$145.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $110.59 / $202.07	Professional		$95.52	$110.59	$202.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $557.80 / $574.54 / $591.28	Facility		$557.80	$574.54	$591.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $238.14 / $355.36	Professional		$91.03	$238.14	$355.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $93.43 / $164.64 / $297.63	Professional		$93.43	$164.64	$297.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $198.55 / $498.61	Facility		$107.39	$198.55	$498.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $125.91 / $203.14 / $793.56	Professional		$125.91	$203.14	$793.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $107.39 / $198.55 / $370.00	Facility		$107.39	$198.55	$370.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $107.39 / $198.55 / $355.36	Professional		$107.39	$198.55	$355.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $216.90 / $216.90 / $216.90	Professional		$216.90	$216.90	$216.90
United Facility/Professional Professional Modifier Low / Median / High Price $143.80 / $187.20 / $313.87	Professional		$143.80	$187.20	$313.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $168.67 / $213.50 / $251.20	Professional		$168.67	$213.50	$251.20