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 $361.92 / $547.70 / $684.62	Professional		$361.92	$547.70	$684.62
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 / $186.84 / $972.49	Professional		$180.81	$186.84	$972.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $421.89 / $620.78	Facility		$361.62	$421.89	$620.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $458.05 / $620.78	Professional		$361.62	$458.05	$620.78
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 / $656.94	Professional		$180.81	$180.81	$656.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35