Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $318.97 / $696.75	Facility		$176.75	$318.97	$696.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $142.65 / $239.87	Professional		$108.21	$142.65	$239.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $297.68 / $372.10	Professional		$196.91	$297.68	$372.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $270.52 / $401.90	Professional		$163.96	$270.52	$401.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $163.96 / $213.15 / $459.82	Facility		$163.96	$213.15	$459.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $168.88 / $819.80	Professional		$98.38	$168.88	$819.80
Midlands Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $334.03 / $459.82	Facility		$196.75	$334.03	$459.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.91 / $334.03 / $469.75	Professional		$196.91	$334.03	$469.75
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $292.67	Professional		$163.96	$163.96	$292.67
United Facility/Professional Facility Modifier Low / Median / High Price $245.94 / $245.94 / $245.94	Facility		$245.94	$245.94	$245.94
United Facility/Professional Professional Modifier Low / Median / High Price $98.38 / $98.38 / $397.15	Professional		$98.38	$98.38	$397.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $163.96 / $163.96	Professional		$163.96	$163.96	$163.96