Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.09 / $471.80 / $471.80	Facility		$189.09	$471.80	$471.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $102.98 / $136.22	Professional		$81.77	$102.98	$136.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $355.11 / $365.76 / $376.42	Facility		$355.11	$365.76	$376.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.87 / $295.44 / $380.09	Professional		$109.87	$295.44	$380.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $209.86 / $355.78	Professional		$129.06	$209.86	$355.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $105.04 / $189.09 / $329.93	Facility		$105.04	$189.09	$329.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $197.00 / $748.56	Professional		$128.87	$197.00	$748.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $128.87 / $236.00 / $365.76	Facility		$128.87	$236.00	$365.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $128.87 / $235.00 / $329.54	Professional		$128.87	$235.00	$329.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $168.50 / $212.30	Professional		$153.80	$168.50	$212.30
United Facility/Professional Professional Modifier Low / Median / High Price $127.71 / $166.27 / $348.94	Professional		$127.71	$166.27	$348.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $206.30 / $242.70	Professional		$162.97	$206.30	$242.70