Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.39 / $583.62 / $816.35	Facility		$323.39	$583.62	$816.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $261.00 / $291.00	Professional		$198.00	$261.00	$291.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.30 / $544.44 / $680.54	Professional		$360.30	$544.44	$680.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $525.00 / $827.29	Professional		$330.00	$525.00	$827.29
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $387.13 / $690.00	Facility		$300.00	$387.13	$690.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $300.00 / $1,264.83	Professional		$180.00	$300.00	$1,264.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $360.00 / $550.08 / $676.73	Facility		$360.00	$550.08	$676.73
Midlands Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $550.08 / $746.60	Professional		$360.00	$550.08	$746.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $535.50	Professional		$300.00	$300.00	$535.50
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $180.00 / $654.00	Professional		$180.00	$180.00	$654.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00