Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.55 / $276.97 / $316.80	Facility		$199.55	$276.97	$316.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $112.87 / $584.00	Professional		$89.12	$112.87	$584.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.41 / $474.22 / $488.03	Facility		$460.41	$474.22	$488.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.23 / $315.70 / $394.64	Professional		$122.23	$315.70	$394.64
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $195.61 / $406.84	Professional		$117.34	$195.61	$406.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.15 / $219.86 / $390.68	Facility		$109.15	$219.86	$390.68
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.93 / $199.00 / $740.76	Professional		$129.93	$199.00	$740.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $199.00 / $248.72 / $474.22	Facility		$199.00	$248.72	$474.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $161.58 / $240.07 / $349.49	Professional		$161.58	$240.07	$349.49
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $168.10 / $168.10 / $423.00	Professional		$168.10	$168.10	$423.00
United Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $109.22 / $161.80	Facility		$107.74	$109.22	$161.80
United Facility/Professional Professional Modifier Low / Median / High Price $127.64 / $161.88 / $359.04	Professional		$127.64	$161.88	$359.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $238.90 / $281.10	Professional		$188.73	$238.90	$281.10