Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $304.95 / $550.32 / $769.78	Facility		$304.95	$550.32	$769.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.70 / $246.11 / $274.39	Professional		$186.70	$246.11	$274.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.73 / $514.41 / $643.01	Professional		$339.73	$514.41	$643.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $311.17 / $495.04 / $783.09	Professional		$311.17	$495.04	$783.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $282.26 / $339.73 / $755.29	Facility		$282.26	$339.73	$755.29
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $282.88 / $1,112.88	Professional		$169.73	$282.88	$1,112.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $339.46 / $518.70 / $821.74	Facility		$339.46	$518.70	$821.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $339.46 / $518.70 / $806.04	Professional		$339.46	$518.70	$806.04
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $504.94	Professional		$282.88	$282.88	$504.94
United Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $616.67	Professional		$169.73	$169.73	$616.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Professional		$282.88	$282.88	$282.88