Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.31 / $267.31 / $267.31	Facility		$267.31	$267.31	$267.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.63 / $158.91 / $250.12	Professional		$145.63	$158.91	$250.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $615.29 / $633.76 / $652.22	Facility		$615.29	$633.76	$652.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.10 / $289.33 / $458.25	Professional		$188.10	$289.33	$458.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $122.01 / $185.40 / $1,132.15	Professional		$122.01	$185.40	$1,132.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.63 / $267.43 / $763.83	Facility		$145.63	$267.43	$763.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $271.10 / $1,279.19	Professional		$208.61	$271.10	$1,279.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.30 / $418.88 / $652.22	Facility		$263.30	$418.88	$652.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $418.88 / $808.93	Professional		$263.30	$418.88	$808.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $164.50 / $164.50 / $164.50	Professional		$164.50	$164.50	$164.50
United Facility/Professional Professional Modifier Low / Median / High Price $206.54 / $262.19 / $474.63	Professional		$206.54	$262.19	$474.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $173.33 / $219.40 / $258.10	Professional		$173.33	$219.40	$258.10