Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.57 / $127.57 / $345.37	Facility		$127.57	$127.57	$345.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.83 / $117.47 / $785.20	Professional		$114.83	$117.47	$785.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $521.61 / $537.26 / $552.91	Facility		$521.61	$537.26	$552.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.55 / $306.52 / $382.03	Professional		$261.55	$306.52	$382.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $119.18 / $218.34 / $518.02	Professional		$119.18	$218.34	$518.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $180.90 / $345.37 / $594.21	Facility		$180.90	$345.37	$594.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $145.56 / $255.40 / $710.67	Professional		$145.56	$255.40	$710.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $82.22 / $278.95 / $537.26	Facility		$82.22	$278.95	$537.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $250.31 / $306.89 / $415.62	Professional		$250.31	$306.89	$415.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $53.25 / $104.35 / $221.59	Professional		$53.25	$104.35	$221.59
United Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $172.32 / $330.83	Professional		$132.33	$172.32	$330.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $223.80 / $263.30	Professional		$176.80	$223.80	$263.30