Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.90 / $142.90 / $142.90	Facility		$142.90	$142.90	$142.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.32 / $431.16 / $599.96	Professional		$247.32	$431.16	$599.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.70 / $740.26 / $761.82	Facility		$718.70	$740.26	$761.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.45 / $186.17 / $1,117.11	Professional		$66.45	$186.17	$1,117.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $120.70 / $205.95	Professional		$71.97	$120.70	$205.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $482.90 / $1,494.21	Facility		$53.37	$482.90	$1,494.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $77.75 / $524.38 / $939.04	Professional		$77.75	$524.38	$939.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $49.31 / $136.68 / $1,063.81	Facility		$49.31	$136.68	$1,063.81
Midlands Facility/Professional Professional Modifier Low / Median / High Price $49.31 / $141.65 / $1,063.81	Professional		$49.31	$141.65	$1,063.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $802.70 / $802.70 / $802.70	Professional		$802.70	$802.70	$802.70
United Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $554.79 / $939.04	Professional		$92.37	$554.79	$939.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $773.96 / $979.70 / $1,152.59	Professional		$773.96	$979.70	$1,152.59