Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.67 / $113.67 / $113.67	Facility		$113.67	$113.67	$113.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.66 / $330.66 / $356.60	Professional		$330.66	$330.66	$356.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.69 / $760.85 / $783.01	Facility		$738.69	$760.85	$783.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $600.39 / $600.39 / $750.49	Professional		$600.39	$600.39	$750.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $79.84 / $258.72 / $418.25	Professional		$79.84	$258.72	$418.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $540.37 / $1,072.52	Facility		$52.81	$540.37	$1,072.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $128.08 / $353.46 / $896.35	Professional		$128.08	$353.46	$896.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $86.04 / $353.02 / $783.01	Facility		$86.04	$353.02	$783.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $30.98 / $151.49 / $821.99	Professional		$30.98	$151.49	$821.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $27.77 / $446.67	Professional		$14.65	$27.77	$446.67
United Facility/Professional Professional Modifier Low / Median / High Price $203.32 / $384.86 / $675.25	Professional		$203.32	$384.86	$675.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $563.35 / $713.10 / $839.00	Professional		$563.35	$713.10	$839.00