Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.06 / $383.96 / $939.22	Facility		$181.06	$383.96	$939.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $90.53 / $167.91 / $358.04	Facility	52	$90.53	$167.91	$358.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.91 / $175.66 / $846.95	Professional		$73.91	$175.66	$846.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.20 / $379.20 / $379.20	Facility		$379.20	$379.20	$379.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $204.17 / $443.16	Professional		$95.73	$204.17	$443.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $213.22 / $809.06	Professional		$73.20	$213.22	$809.06
Medica Facility/Professional Facility Modifier Low / Median / High Price $109.39 / $233.25 / $488.76	Facility		$109.39	$233.25	$488.76
Medica Facility/Professional Facility Modifier 52 Low / Median / High Price $310.81 / $310.81 / $310.81	Facility	52	$310.81	$310.81	$310.81
Medica Facility/Professional Professional Modifier Low / Median / High Price $186.10 / $392.45 / $1,806.86	Professional		$186.10	$392.45	$1,806.86
Midlands Facility/Professional Facility Modifier Low / Median / High Price $161.40 / $345.91 / $449.00	Facility		$161.40	$345.91	$449.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $345.91 / $468.00	Professional		$155.78	$345.91	$468.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $72.93 / $149.60 / $299.52	Professional		$72.93	$149.60	$299.52
United Facility/Professional Professional Modifier Low / Median / High Price $183.34 / $243.33 / $416.19	Professional		$183.34	$243.33	$416.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $144.40 / $176.60 / $353.00	Professional		$144.40	$176.60	$353.00