Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.70 / $204.70 / $204.70	Facility		$204.70	$204.70	$204.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.27 / $186.27 / $1,534.44	Professional		$186.27	$186.27	$1,534.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $673.07 / $693.26 / $713.45	Facility		$673.07	$693.26	$713.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.18 / $493.35 / $616.67	Professional		$446.18	$493.35	$616.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $180.61 / $281.89 / $631.69	Professional		$180.61	$281.89	$631.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $292.00 / $503.91 / $1,031.97	Facility		$292.00	$503.91	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.34 / $275.19 / $631.30	Professional		$184.34	$275.19	$631.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $325.14 / $446.18 / $709.84	Facility		$325.14	$446.18	$709.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $446.18 / $587.52	Professional		$267.00	$446.18	$587.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $189.95 / $430.27	Professional		$32.04	$189.95	$430.27
United Facility/Professional Professional Modifier Low / Median / High Price $192.58 / $232.46 / $425.93	Professional		$192.58	$232.46	$425.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $358.00 / $421.20	Professional		$282.82	$358.00	$421.20