Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $616.60 / $933.25	Facility		$251.19	$616.60	$933.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $407.38	Professional		$229.09	$275.42	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $616.60 / $776.25	Professional		$416.87	$616.60	$776.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $562.34 / $933.25	Professional		$275.42	$562.34	$933.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $389.05 / $758.58	Facility		$323.59	$389.05	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $1,288.25	Professional		$194.98	$389.05	$1,288.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $416.87	Professional		$389.05	$389.05	$416.87
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $354.81 / $691.83	Professional		$323.59	$354.81	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $741.31	Facility		$323.59	$323.59	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $812.83	Professional		$194.98	$194.98	$812.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Professional		$323.59	$323.59	$323.59