Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.35 / $299.51 / $585.16	Facility		$240.35	$299.51	$585.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.91 / $193.90 / $216.19	Professional		$141.91	$193.90	$216.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $761.43 / $784.27 / $807.12	Facility		$761.43	$784.27	$807.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.38 / $489.99 / $612.49	Professional		$365.38	$489.99	$612.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $204.75 / $345.17 / $504.88	Professional		$204.75	$345.17	$504.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $496.50 / $2,033.81	Facility		$268.77	$496.50	$2,033.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $216.69 / $322.00 / $1,011.97	Professional		$216.69	$322.00	$1,011.97
Midlands Facility/Professional Facility Modifier Low / Median / High Price $268.77 / $418.36 / $807.12	Facility		$268.77	$418.36	$807.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $268.77 / $402.32 / $595.55	Professional		$268.77	$402.32	$595.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $104.29 / $195.12 / $388.47	Professional		$104.29	$195.12	$388.47
United Facility/Professional Facility Modifier Low / Median / High Price $984.23 / $984.23 / $984.23	Facility		$984.23	$984.23	$984.23
United Facility/Professional Professional Modifier Low / Median / High Price $199.32 / $216.69 / $507.27	Professional		$199.32	$216.69	$507.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $392.10 / $461.20 / $542.40	Professional		$392.10	$461.20	$542.40