Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $501.19 / $1,071.52	Facility		$251.19	$501.19	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $363.08	Professional		$131.83	$186.21	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $457.09 / $467.74	Facility		$446.68	$457.09	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $575.44 / $707.95	Professional		$416.87	$575.44	$707.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $281.84 / $426.58	Professional		$151.36	$281.84	$426.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $707.95	Facility		$251.19	$426.58	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $281.84 / $630.96	Professional		$131.83	$281.84	$630.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $630.96	Professional		$295.12	$363.08	$630.96
Midlands Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Facility		$467.74	$467.74	$467.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $630.96	Professional		$398.11	$398.11	$630.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $616.60	Professional		$281.84	$316.23	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $954.99 / $1,258.93	Facility		$562.34	$954.99	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $234.42 / $407.38	Professional		$165.96	$234.42	$407.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $512.86	Professional		$346.74	$436.52	$512.86