Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.18 / $228.62 / $228.62	Facility		$175.18	$228.62	$228.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $144.62 / $230.03	Professional		$113.99	$144.62	$230.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $314.52	Facility		$108.00	$170.64	$314.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.64 / $316.50 / $395.63	Professional		$170.64	$316.50	$395.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $271.63 / $285.93	Professional		$231.00	$271.63	$285.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.34 / $367.40 / $1,269.54	Facility		$182.34	$367.40	$1,269.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $180.95 / $374.73	Professional		$136.69	$180.95	$374.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $313.61 / $314.52 / $376.96	Facility		$313.61	$314.52	$376.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.58 / $365.79 / $601.04	Professional		$257.58	$365.79	$601.04
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $1,634.91 / $1,634.91 / $1,634.91	Facility		$1,634.91	$1,634.91	$1,634.91
United Facility/Professional Professional Modifier Low / Median / High Price $136.69 / $160.16 / $354.82	Professional		$136.69	$160.16	$354.82
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $280.20 / $280.20 / $280.20	Facility		$280.20	$280.20	$280.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $280.20 / $280.20	Professional		$221.37	$280.20	$280.20