Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $181.97 / $562.34	Facility		$58.88	$181.97	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $120.23 / $269.15	Professional		$40.74	$120.23	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Facility		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $117.49 / $346.74	Professional		$46.77	$117.49	$346.74
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $186.21 / $457.09	Professional		$40.74	$186.21	$457.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $181.97 / $501.19	Facility		$51.29	$181.97	$501.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $245.47 / $1,148.15	Professional		$114.82	$245.47	$1,148.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $251.19 / $346.74	Professional		$95.50	$251.19	$346.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $239.88 / $398.11	Professional		$77.62	$239.88	$398.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $123.03 / $281.84	Professional		$38.02	$123.03	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $851.14 / $1,071.52	Facility		$478.63	$851.14	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $117.49 / $263.03	Professional		$44.67	$117.49	$263.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $95.50 / $281.84	Professional		$77.62	$95.50	$281.84