Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.56 / $191.22 / $428.70	Facility		$121.56	$191.22	$428.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.89 / $93.01 / $468.00	Professional		$83.89	$93.01	$468.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.83 / $331.48 / $341.14	Facility		$321.83	$331.48	$341.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.89 / $232.71 / $290.89	Professional		$99.89	$232.71	$290.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $86.77 / $145.76 / $467.46	Professional		$86.77	$145.76	$467.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $94.01 / $193.17 / $287.13	Facility		$94.01	$193.17	$287.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.90 / $150.07 / $652.77	Professional		$96.90	$150.07	$652.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $211.35 / $336.25	Facility		$171.00	$211.35	$336.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $207.01 / $292.35	Professional		$145.97	$207.01	$292.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $132.30 / $132.30 / $294.89	Professional		$132.30	$132.30	$294.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $118.32 / $226.58	Professional		$93.67	$118.32	$226.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $176.10 / $207.20	Professional		$139.12	$176.10	$207.20