Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $680.16 / $951.39	Facility		$349.62	$680.16	$951.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $944.93 / $944.93 / $944.93	Professional		$944.93	$944.93	$944.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $635.16 / $635.16 / $793.97	Professional		$635.16	$635.16	$793.97
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $297.18 / $471.99 / $1,786.95	Professional		$297.18	$471.99	$1,786.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $451.15 / $895.03	Facility		$349.62	$451.15	$895.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $349.62 / $1,375.43	Professional		$209.77	$349.62	$1,375.43
Midlands Facility/Professional Facility Modifier Low / Median / High Price $419.54 / $665.59 / $986.88	Facility		$419.54	$665.59	$986.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $419.54 / $678.61 / $891.53	Professional		$419.54	$678.61	$891.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $340.18 / $349.62 / $624.07	Professional		$340.18	$349.62	$624.07
United Facility/Professional Facility Modifier Low / Median / High Price $349.62 / $349.62 / $804.13	Facility		$349.62	$349.62	$804.13
United Facility/Professional Professional Modifier Low / Median / High Price $209.77 / $209.77 / $762.17	Professional		$209.77	$209.77	$762.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $349.62 / $349.62 / $349.62	Professional		$349.62	$349.62	$349.62