Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.55 / $889.12 / $1,115.58	Facility		$501.55	$889.12	$1,115.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $253.31 / $253.31	Professional		$151.21	$253.31	$253.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $443.49 / $456.79 / $470.10	Facility		$443.49	$456.79	$470.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.63 / $558.50 / $698.13	Professional		$334.63	$558.50	$698.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $125.58 / $249.01 / $429.17	Professional		$125.58	$249.01	$429.17
Medica Facility/Professional Facility Modifier Low / Median / High Price $230.03 / $414.89 / $687.48	Facility		$230.03	$414.89	$687.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.77 / $267.83 / $574.00	Professional		$151.77	$267.83	$574.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $227.33 / $340.29 / $574.00	Facility		$227.33	$340.29	$574.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.29 / $376.20 / $520.02	Professional		$248.29	$376.20	$520.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.16 / $319.82 / $596.67	Professional		$238.16	$319.82	$596.67
United Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $236.46 / $412.36	Professional		$178.55	$236.46	$412.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $345.63 / $437.50 / $514.79	Professional		$345.63	$437.50	$514.79