Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.47 / $148.27 / $186.86	Facility		$124.47	$148.27	$186.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.02 / $88.00 / $202.48	Professional		$78.02	$88.00	$202.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.35 / $313.48 / $322.61	Facility		$304.35	$313.48	$322.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.20 / $202.46 / $253.07	Professional		$108.20	$202.46	$253.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $78.80 / $146.52 / $437.15	Professional		$78.80	$146.52	$437.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $79.59 / $186.86 / $583.00	Facility		$79.59	$186.86	$583.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $166.30 / $1,285.65	Professional		$91.37	$166.30	$1,285.65
Midlands Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $190.72 / $322.61	Facility		$166.30	$190.72	$322.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $166.00 / $190.72 / $293.23	Professional		$166.00	$190.72	$293.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.47 / $76.36 / $147.58	Professional		$38.47	$76.36	$147.58
United Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $110.09 / $199.97	Professional		$87.02	$110.09	$199.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $121.34 / $153.60 / $180.70	Professional		$121.34	$153.60	$180.70