Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.32 / $763.29 / $1,066.82	Facility		$367.32	$763.29	$1,066.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.69 / $297.82 / $784.00	Professional		$149.69	$297.82	$784.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $503.25 / $518.35 / $533.45	Facility		$503.25	$518.35	$533.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.93 / $385.52 / $481.90	Professional		$333.93	$385.52	$481.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $257.25 / $770.99	Professional		$157.44	$257.25	$770.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $305.54 / $380.83 / $450.37	Facility		$305.54	$380.83	$450.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $287.73 / $744.82	Professional		$181.09	$287.73	$744.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.00 / $380.83 / $577.40	Facility		$288.00	$380.83	$577.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.00 / $358.98 / $450.37	Professional		$263.00	$358.98	$450.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $179.73 / $312.13	Professional		$158.57	$179.73	$312.13
United Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $214.38 / $317.74	Professional		$181.09	$214.38	$317.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $314.30 / $369.80	Professional		$248.30	$314.30	$369.80