Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.64 / $403.58 / $881.57	Facility		$223.64	$403.58	$881.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $180.49 / $201.24	Professional		$136.91	$180.49	$201.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $249.16 / $376.67 / $470.83	Professional		$249.16	$376.67	$470.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $342.31 / $651.73	Professional		$207.46	$342.31	$651.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.46 / $269.70 / $581.79	Facility		$207.46	$269.70	$581.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $213.68 / $1,037.30	Professional		$124.48	$213.68	$1,037.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.95 / $422.67 / $581.79	Facility		$248.95	$422.67	$581.79
Midlands Facility/Professional Professional Modifier Low / Median / High Price $249.16 / $422.67 / $594.36	Professional		$249.16	$422.67	$594.36
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $370.32	Professional		$207.46	$207.46	$370.32
United Facility/Professional Professional Modifier Low / Median / High Price $124.48 / $124.48 / $502.51	Professional		$124.48	$124.48	$502.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $207.46 / $207.46	Professional		$207.46	$207.46	$207.46