Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $692.82 / $969.09	Facility		$356.13	$692.82	$969.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $962.51 / $962.51 / $962.51	Professional		$962.51	$962.51	$962.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $646.91 / $808.66	Professional		$427.36	$646.91	$808.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $480.78 / $1,820.23	Professional		$302.70	$480.78	$1,820.23
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.13 / $459.56 / $911.69	Facility		$356.13	$459.56	$911.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $238.96 / $1,338.08	Professional		$213.68	$238.96	$1,338.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $427.36 / $540.73 / $780.49	Facility		$427.36	$540.73	$780.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $427.36 / $651.28 / $929.50	Professional		$427.36	$651.28	$929.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $635.69	Professional		$356.13	$356.13	$635.69
United Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $213.68 / $776.36	Professional		$213.68	$213.68	$776.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $356.13 / $356.13	Professional		$356.13	$356.13	$356.13