Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.32 / $725.32 / $725.32	Facility		$725.32	$725.32	$725.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.81 / $139.91 / $261.95	Professional		$122.81	$139.91	$261.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $656.78 / $676.48 / $696.19	Facility		$656.78	$676.48	$696.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.30 / $341.35 / $542.49	Professional		$181.30	$341.35	$542.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $238.52 / $944.51	Professional		$131.55	$238.52	$944.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.54 / $445.89 / $4,907.85	Facility		$207.54	$445.89	$4,907.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $161.90 / $288.67 / $3,960.00	Professional		$161.90	$288.67	$3,960.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $274.29 / $341.35 / $696.19	Facility		$274.29	$341.35	$696.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $274.29 / $341.78 / $832.00	Professional		$274.29	$341.78	$832.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $193.80 / $193.80 / $597.90	Professional		$193.80	$193.80	$597.90
United Facility/Professional Facility Modifier Low / Median / High Price $3,741.23 / $3,863.24 / $5,723.32	Facility		$3,741.23	$3,863.24	$5,723.32
United Facility/Professional Professional Modifier Low / Median / High Price $147.18 / $192.72 / $427.30	Professional		$147.18	$192.72	$427.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $252.40 / $296.89	Professional		$199.40	$252.40	$296.89