Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $586.25 / $820.03	Facility		$324.86	$586.25	$820.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $262.17 / $292.31	Professional		$198.89	$262.17	$292.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $813.65 / $838.06 / $862.47	Facility		$813.65	$838.06	$862.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $547.70 / $684.62	Professional		$361.92	$547.70	$684.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $391.76 / $527.36	Professional		$256.14	$391.76	$527.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $388.87 / $771.46	Facility		$301.35	$388.87	$771.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $271.22 / $1,184.97	Professional		$180.81	$271.22	$1,184.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $551.09 / $862.47	Facility		$361.62	$551.09	$862.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $551.09 / $786.52	Professional		$361.62	$551.09	$786.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $537.91	Professional		$301.35	$301.35	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $656.94	Professional		$180.81	$180.81	$656.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35