Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.60 / $389.08 / $544.24	Facility		$215.60	$389.08	$544.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $174.00 / $194.00	Professional		$132.00	$174.00	$194.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.20 / $362.96 / $453.70	Professional		$240.20	$362.96	$453.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.00 / $334.29 / $362.00	Professional		$220.00	$334.29	$362.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $258.08 / $534.00	Facility		$200.00	$258.08	$534.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $200.00 / $785.08	Professional		$120.00	$200.00	$785.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $240.00 / $366.72 / $444.46	Facility		$240.00	$366.72	$444.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $366.72 / $510.00	Professional		$240.00	$366.72	$510.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $357.00	Professional		$200.00	$200.00	$357.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $409.50	Professional		$120.00	$120.00	$409.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00