Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.86 / $267.86 / $267.86	Facility		$267.86	$267.86	$267.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.68 / $162.68 / $1,391.76	Professional		$162.68	$162.68	$1,391.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $781.86 / $805.32 / $828.77	Facility		$781.86	$805.32	$828.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.11 / $427.41 / $534.26	Professional		$387.11	$427.41	$534.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $157.12 / $271.89 / $727.13	Professional		$157.12	$271.89	$727.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.93 / $469.59 / $1,031.97	Facility		$274.93	$469.59	$1,031.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.43 / $307.64 / $678.76	Professional		$192.43	$307.64	$678.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $348.98 / $433.52 / $805.32	Facility		$348.98	$433.52	$805.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $343.00 / $429.78 / $612.22	Professional		$343.00	$429.78	$612.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $169.13 / $434.94	Professional		$26.74	$169.13	$434.94
United Facility/Professional Professional Modifier Low / Median / High Price $192.43 / $230.92 / $427.77	Professional		$192.43	$230.92	$427.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.37 / $310.60 / $365.40	Professional		$245.37	$310.60	$365.40