Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.76 / $542.77 / $759.21	Facility		$300.76	$542.77	$759.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $242.73 / $270.63	Professional		$184.14	$242.73	$270.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $507.23 / $634.03	Professional		$335.08	$507.23	$634.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $188.73 / $306.89 / $488.25	Professional		$188.73	$306.89	$488.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $279.00 / $360.03 / $744.93	Facility		$279.00	$360.03	$744.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $76.97 / $255.16 / $728.19	Professional		$76.97	$255.16	$728.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.64 / $364.21 / $611.44	Facility		$279.64	$364.21	$611.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $277.83 / $364.21 / $574.74	Professional		$277.83	$364.21	$574.74
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $498.01	Professional		$279.00	$279.00	$498.01
United Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $167.40 / $572.22	Professional		$77.45	$167.40	$572.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $279.00 / $279.00 / $279.00	Professional		$279.00	$279.00	$279.00