Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.61 / $485.39 / $693.98	Facility		$220.61	$485.39	$693.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.98 / $208.32 / $461.00	Professional		$100.98	$208.32	$461.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.79 / $301.57 / $310.36	Facility		$292.79	$301.57	$310.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.49 / $248.22 / $310.27	Professional		$213.49	$248.22	$310.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $100.43 / $162.19 / $326.52	Professional		$100.43	$162.19	$326.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $145.19 / $238.70 / $287.04	Facility		$145.19	$238.70	$287.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $155.97 / $443.61	Professional		$112.93	$155.97	$443.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $238.70 / $371.35	Facility		$171.00	$238.70	$371.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $157.00 / $225.32 / $287.04	Professional		$157.00	$225.32	$287.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $100.07 / $113.23 / $199.44	Professional		$100.07	$113.23	$199.44
United Facility/Professional Professional Modifier Low / Median / High Price $112.55 / $133.68 / $216.18	Professional		$112.55	$133.68	$216.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $159.66 / $202.10 / $237.80	Professional		$159.66	$202.10	$237.80