Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.90 / $214.12 / $567.28	Facility		$103.90	$214.12	$567.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $105.26 / $241.98	Professional		$41.89	$105.26	$241.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.80 / $304.80 / $304.80	Facility		$304.80	$304.80	$304.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.11 / $126.65 / $332.37	Professional		$49.11	$126.65	$332.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $165.14 / $362.06	Professional		$42.67	$165.14	$362.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $60.65 / $171.22 / $313.62	Facility		$60.65	$171.22	$313.62
Medica Facility/Professional Professional Modifier Low / Median / High Price $119.81 / $243.72 / $855.04	Professional		$119.81	$243.72	$855.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $94.38 / $232.70 / $313.62	Facility		$94.38	$232.70	$313.62
Midlands Facility/Professional Professional Modifier Low / Median / High Price $89.75 / $224.39 / $313.62	Professional		$89.75	$224.39	$313.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $114.10 / $227.41	Professional		$40.64	$114.10	$227.41
United Facility/Professional Facility Modifier Low / Median / High Price $271.49 / $512.73 / $633.23	Facility		$271.49	$512.73	$633.23
United Facility/Professional Professional Modifier Low / Median / High Price $125.80 / $184.15 / $291.45	Professional		$125.80	$184.15	$291.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $101.80 / $279.60	Professional		$83.20	$101.80	$279.60