Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $204.17	Facility		$186.21	$186.21	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $204.17 / $524.81	Professional		$173.78	$204.17	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $691.83 / $707.95	Facility		$676.08	$691.83	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $501.19 / $630.96	Professional		$478.63	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $281.84 / $794.33	Professional		$158.49	$281.84	$794.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $512.86 / $1,071.52	Facility		$295.12	$512.86	$1,071.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $707.95	Professional		$186.21	$316.23	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $478.63 / $588.84	Professional		$407.38	$478.63	$588.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $537.03	Professional		$489.78	$489.78	$537.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $177.83 / $371.54	Professional		$32.36	$177.83	$371.54
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $912.01 / $1,230.27	Facility		$524.81	$912.01	$1,230.27
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $245.47 / $512.86	Professional		$186.21	$245.47	$512.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $416.87	Professional		$281.84	$354.81	$416.87