Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.96 / $124.96 / $124.96	Facility		$124.96	$124.96	$124.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.13 / $101.31 / $185.32	Professional		$92.13	$101.31	$185.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.57 / $419.80 / $432.02	Facility		$407.57	$419.80	$432.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.64 / $252.10 / $336.03	Professional		$112.64	$252.10	$336.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $94.48 / $140.99 / $380.79	Professional		$94.48	$140.99	$380.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $124.96 / $237.62 / $964.06	Facility		$124.96	$237.62	$964.06
Medica Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $178.45 / $1,021.00	Professional		$111.00	$178.45	$1,021.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.33 / $230.48 / $419.80	Facility		$171.33	$230.48	$419.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $238.03 / $304.17	Professional		$164.00	$238.03	$304.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.69 / $143.69 / $373.00	Professional		$143.69	$143.69	$373.00
United Facility/Professional Facility Modifier Low / Median / High Price $731.19 / $851.19 / $1,083.24	Facility		$731.19	$851.19	$1,083.24
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $133.18 / $239.23	Professional		$110.98	$133.18	$239.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $145.68 / $184.40 / $217.00	Professional		$145.68	$184.40	$217.00