Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $630.96 / $912.01	Facility		$251.19	$630.96	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $275.42 / $416.87	Professional		$229.09	$275.42	$416.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $794.33	Professional		$426.58	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $575.44 / $831.76	Professional		$281.84	$575.44	$831.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $398.11 / $758.58	Facility		$323.59	$398.11	$758.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $398.11 / $1,258.93	Professional		$199.53	$398.11	$1,258.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $426.58	Professional		$398.11	$398.11	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $354.81 / $707.95	Professional		$331.13	$354.81	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $758.58	Facility		$331.13	$331.13	$758.58
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $831.76	Professional		$199.53	$199.53	$831.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Professional		$331.13	$331.13	$331.13