Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $711.44 / $711.44 / $711.44	Facility		$711.44	$711.44	$711.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.24 / $121.66 / $288.14	Professional		$110.24	$121.66	$288.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.95 / $872.36 / $897.77	Facility		$846.95	$872.36	$897.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.73 / $299.42 / $699.11	Professional		$172.73	$299.42	$699.11
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $209.20 / $855.40	Professional		$113.55	$209.20	$855.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.86 / $482.08 / $1,539.26	Facility		$183.86	$482.08	$1,539.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $146.00 / $273.26 / $3,555.00	Professional		$146.00	$273.26	$3,555.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $241.21 / $298.91 / $872.36	Facility		$241.21	$298.91	$872.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $241.21 / $303.85 / $803.00	Professional		$241.21	$303.85	$803.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $169.50 / $169.50 / $779.30	Professional		$169.50	$169.50	$779.30
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $172.84 / $325.29	Professional		$132.72	$172.84	$325.29
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $219.20 / $257.89	Professional		$173.17	$219.20	$257.89