Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.03 / $258.83 / $681.78	Facility		$118.03	$258.83	$681.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.07 / $147.50 / $227.57	Professional		$135.07	$147.50	$227.57
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 $168.58 / $376.21 / $505.18	Professional		$168.58	$376.21	$505.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.37 / $262.64 / $853.04	Professional		$144.37	$262.64	$853.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.04 / $398.73 / $4,560.87	Facility		$198.04	$398.73	$4,560.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $185.96 / $317.19 / $3,097.70	Professional		$185.96	$317.19	$3,097.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $174.70 / $339.47 / $576.19	Facility		$174.70	$339.47	$576.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.77 / $350.11 / $805.00	Professional		$286.77	$350.11	$805.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $217.80 / $217.80 / $511.00	Professional		$217.80	$217.80	$511.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,202.03 / $3,863.24 / $5,723.32	Facility		$2,202.03	$3,863.24	$5,723.32
United Facility/Professional Professional Modifier Low / Median / High Price $169.05 / $222.40 / $1,201.56	Professional		$169.05	$222.40	$1,201.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.91 / $280.89 / $330.50	Professional		$221.91	$280.89	$330.50