Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $534.66 / $747.87	Facility		$274.83	$534.66	$747.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $211.62 / $266.58	Professional		$181.39	$211.62	$266.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $499.39 / $624.24	Professional		$330.06	$499.39	$624.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.61 / $371.02 / $497.44	Professional		$233.61	$371.02	$497.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $354.65 / $703.56	Facility		$274.83	$354.65	$703.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $170.39 / $886.90	Professional		$164.90	$170.39	$886.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $384.76 / $566.15	Facility		$329.80	$384.76	$566.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $417.74 / $566.15	Professional		$329.80	$417.74	$566.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $490.57	Professional		$274.83	$274.83	$490.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $562.71	Professional		$164.90	$164.90	$562.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83