Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.88 / $147.16 / $353.52	Facility		$120.88	$147.16	$353.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $166.80 / $292.08	Professional		$129.10	$166.80	$292.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.81 / $199.81 / $199.81	Facility		$199.81	$199.81	$199.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $258.05 / $494.49	Professional		$80.00	$258.05	$494.49
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.90 / $194.18 / $336.04	Professional		$142.90	$194.18	$336.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.78 / $199.02 / $284.52	Facility		$158.78	$199.02	$284.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $247.97 / $1,234.10	Professional		$144.22	$247.97	$1,234.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $217.27 / $248.18 / $399.11	Facility		$217.27	$248.18	$399.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.08 / $272.91 / $488.49	Professional		$184.08	$272.91	$488.49
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $470.41 / $470.41 / $470.41	Facility		$470.41	$470.41	$470.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $140.04 / $188.04 / $331.40	Professional		$140.04	$188.04	$331.40
United Facility/Professional Professional Modifier Low / Median / High Price $130.78 / $201.47 / $404.39	Professional		$130.78	$201.47	$404.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $216.07 / $273.50	Professional		$183.40	$216.07	$273.50