Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $586.25 / $820.03	Facility		$301.35	$586.25	$820.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $232.04 / $292.31	Professional		$198.89	$232.04	$292.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $547.70 / $684.62	Professional		$361.62	$547.70	$684.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $256.14 / $406.82 / $1,540.22	Professional		$256.14	$406.82	$1,540.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $301.35 / $388.87 / $771.46	Facility		$301.35	$388.87	$771.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $202.21 / $1,132.26	Professional		$180.81	$202.21	$1,132.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $457.56 / $660.44	Facility		$361.62	$457.56	$660.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $551.09 / $786.52	Professional		$361.62	$551.09	$786.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $537.91	Professional		$301.35	$301.35	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $617.01	Professional		$180.81	$180.81	$617.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35