Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.88 / $462.85 / $820.50	Facility		$270.88	$462.85	$820.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.65 / $196.00 / $976.88	Professional		$154.65	$196.00	$976.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.20 / $387.20 / $387.20	Facility		$387.20	$387.20	$387.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $337.78 / $472.72	Professional		$158.75	$337.78	$472.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $136.96 / $232.25 / $1,285.51	Professional		$136.96	$232.25	$1,285.51
Medica Facility/Professional Facility Modifier Low / Median / High Price $165.84 / $310.70 / $491.45	Facility		$165.84	$310.70	$491.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $327.02 / $1,130.22	Professional		$182.15	$327.02	$1,130.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $277.58 / $377.56 / $457.51	Facility		$277.58	$377.56	$457.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $229.98 / $348.71 / $457.51	Professional		$229.98	$348.71	$457.51
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $256.33 / $320.66	Professional		$143.60	$256.33	$320.66
United Facility/Professional Professional Modifier Low / Median / High Price $173.87 / $246.64 / $387.03	Professional		$173.87	$246.64	$387.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $302.60 / $356.00	Professional		$239.05	$302.60	$356.00