Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.68 / $122.68 / $122.68	Facility		$122.68	$122.68	$122.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.42 / $204.60 / $292.55	Professional		$185.42	$204.60	$292.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.41 / $576.19 / $592.97	Facility		$559.41	$576.19	$592.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.71 / $217.97 / $517.87	Professional		$83.71	$217.97	$517.87
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $148.68 / $311.43	Professional		$84.07	$148.68	$311.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $65.88 / $282.26 / $738.95	Facility		$65.88	$282.26	$738.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $90.80 / $289.97 / $565.13	Professional		$90.80	$289.97	$565.13
Midlands Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $209.73 / $576.19	Facility		$62.61	$209.73	$576.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $58.82 / $167.22 / $545.15	Professional		$58.82	$167.22	$545.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $100.69 / $268.47	Professional		$28.84	$100.69	$268.47
United Facility/Professional Professional Modifier Low / Median / High Price $121.87 / $289.97 / $486.18	Professional		$121.87	$289.97	$486.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $348.63 / $441.30 / $519.20	Professional		$348.63	$441.30	$519.20