Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $534.66 / $747.87	Facility		$296.27	$534.66	$747.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $239.10 / $266.58	Professional		$181.39	$239.10	$266.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $742.04 / $764.30 / $786.56	Facility		$742.04	$764.30	$786.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $499.39 / $624.24	Professional		$330.06	$499.39	$624.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $471.21 / $497.44	Professional		$302.31	$471.21	$497.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $354.65 / $703.56	Facility		$274.83	$354.65	$703.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $247.35 / $1,080.70	Professional		$164.90	$247.35	$1,080.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $502.59 / $786.56	Facility		$329.80	$502.59	$786.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $502.59 / $717.31	Professional		$329.80	$502.59	$717.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $490.57	Professional		$274.83	$274.83	$490.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $599.13	Professional		$164.90	$164.90	$599.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83