Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.22 / $540.23 / $702.17	Facility		$223.22	$540.23	$702.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.39 / $136.86 / $615.55	Professional		$93.39	$136.86	$615.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $339.47 / $349.65 / $359.84	Facility		$339.47	$349.65	$359.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.94 / $249.78 / $312.22	Professional		$215.94	$249.78	$312.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $101.16 / $165.96 / $458.38	Professional		$101.16	$165.96	$458.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $205.37 / $245.54 / $306.45	Facility		$205.37	$245.54	$306.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $172.00 / $403.45	Professional		$116.15	$172.00	$403.45
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.00 / $243.83 / $371.35	Facility		$194.00	$243.83	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.00 / $231.19 / $288.24	Professional		$177.00	$231.19	$288.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $101.56 / $113.05 / $199.37	Professional		$101.56	$113.05	$199.37
United Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $137.50 / $288.63	Professional		$116.15	$137.50	$288.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $202.10 / $237.80	Professional		$159.66	$202.10	$237.80