Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.24 / $453.41 / $913.83	Facility		$251.24	$453.41	$913.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.83 / $202.77 / $226.08	Professional		$153.83	$202.77	$226.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $423.67 / $529.58	Professional		$279.68	$423.67	$529.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $384.57 / $810.87	Professional		$233.07	$384.57	$810.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.07 / $302.99 / $603.08	Facility		$233.07	$302.99	$603.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $240.06 / $1,138.61	Professional		$139.84	$240.06	$1,138.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $279.68 / $438.12 / $603.08	Facility		$279.68	$438.12	$603.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $438.12 / $616.10	Professional		$279.68	$438.12	$616.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $233.07 / $416.03	Professional		$233.07	$233.07	$416.03
United Facility/Professional Professional Modifier Low / Median / High Price $139.84 / $139.84 / $520.89	Professional		$139.84	$139.84	$520.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.07 / $233.07 / $233.07	Professional		$233.07	$233.07	$233.07