Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.47 / $550.00 / $700.70	Facility		$278.47	$550.00	$700.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.77 / $250.00 / $475.00	Professional		$205.77	$250.00	$475.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.77 / $765.05 / $787.34	Facility		$742.77	$765.05	$787.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.92 / $470.85 / $632.91	Professional		$209.92	$470.85	$632.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $200.48 / $278.12 / $882.69	Professional		$200.48	$278.12	$882.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $244.65 / $401.95 / $774.71	Facility		$244.65	$401.95	$774.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $396.34 / $1,349.26	Professional		$226.78	$396.34	$1,349.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.77 / $432.80 / $787.34	Facility		$384.77	$432.80	$787.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.77 / $450.01 / $684.95	Professional		$384.77	$450.01	$684.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $266.89 / $266.89 / $266.89	Professional		$266.89	$266.89	$266.89
United Facility/Professional Professional Modifier Low / Median / High Price $221.76 / $323.88 / $672.71	Professional		$221.76	$323.88	$672.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.82 / $450.40 / $529.90	Professional		$355.82	$450.40	$529.90