Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $158.86 / $158.86	Facility		$154.88	$158.86	$158.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $120.74 / $200.53	Professional		$82.73	$120.74	$200.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.61 / $125.61 / $271.76	Facility		$125.61	$125.61	$271.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.81 / $267.26 / $331.41	Professional		$213.81	$267.26	$331.41
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $224.52 / $247.64 / $267.57	Professional		$224.52	$247.64	$267.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $155.19 / $271.76 / $1,045.23	Facility		$155.19	$271.76	$1,045.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $123.25 / $332.68	Professional		$99.39	$123.25	$332.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $270.97 / $271.76 / $325.70	Facility		$270.97	$271.76	$325.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $219.00 / $305.39 / $519.33	Professional		$219.00	$305.39	$519.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.20 / $251.99 / $440.98	Professional		$233.20	$251.99	$440.98
United Facility/Professional Professional Modifier Low / Median / High Price $99.39 / $123.25 / $297.22	Professional		$99.39	$123.25	$297.22
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $234.70 / $234.70 / $234.70	Facility		$234.70	$234.70	$234.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $234.70 / $234.70	Professional		$185.41	$234.70	$234.70