Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $534.66 / $747.87	Facility		$296.27	$534.66	$747.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $239.10 / $266.58	Professional		$181.39	$239.10	$266.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $499.39 / $624.24	Professional		$330.06	$499.39	$624.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $480.95 / $562.04	Professional		$302.31	$480.95	$562.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.35 / $330.06 / $733.80	Facility		$274.35	$330.06	$733.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $274.83 / $1,081.21	Professional		$164.90	$274.83	$1,081.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $503.91 / $798.36	Facility		$329.80	$503.91	$798.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $503.91 / $700.82	Professional		$329.80	$503.91	$700.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $490.57	Professional		$274.83	$274.83	$490.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $599.13	Professional		$164.90	$164.90	$599.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83