Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $403.31 / $564.13	Facility		$223.48	$403.31	$564.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $159.63 / $201.09	Professional		$136.82	$159.63	$201.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $376.67 / $470.83	Professional		$248.98	$376.67	$470.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $362.79 / $381.44	Professional		$228.04	$362.79	$381.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $267.52 / $530.71	Facility		$207.31	$267.52	$530.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $186.58 / $778.91	Professional		$124.39	$186.58	$778.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $290.23 / $454.33	Facility		$248.77	$290.23	$454.33
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $379.12 / $541.08	Professional		$248.77	$379.12	$541.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $370.05	Professional		$207.31	$207.31	$370.05
United Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $424.47	Professional		$124.39	$124.39	$424.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31