Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.86 / $479.86 / $670.65	Facility		$479.86	$479.86	$670.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $121.66 / $210.30	Professional		$110.24	$121.66	$210.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $573.84 / $591.05 / $608.27	Facility		$573.84	$591.05	$608.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.28 / $299.42 / $474.15	Professional		$159.28	$299.42	$474.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $209.20 / $853.25	Professional		$113.55	$209.20	$853.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $401.34 / $4,907.85	Facility		$183.86	$401.34	$4,907.85
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $262.52 / $3,100.39	Professional		$146.00	$262.52	$3,100.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $241.21 / $297.24 / $608.27	Facility		$241.21	$297.24	$608.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $305.42 / $805.00	Professional		$241.21	$305.42	$805.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $169.50 / $521.60	Professional		$169.50	$169.50	$521.60
United Facility/Professional Facility Modifier Low / Median / High Price $4,055.75 / $6,636.04 / $8,577.44	Facility		$4,055.75	$6,636.04	$8,577.44
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $172.84 / $309.02	Professional		$132.72	$172.84	$309.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $219.20 / $257.89	Professional		$173.17	$219.20	$257.89