Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.82 / $643.92 / $913.56	Facility		$356.82	$643.92	$913.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $287.97 / $321.07	Professional		$218.46	$287.97	$321.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $601.23 / $751.54	Professional		$397.20	$601.23	$751.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.35 / $364.10 / $579.25	Professional		$281.35	$364.10	$579.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.79 / $397.53 / $761.30	Facility		$323.79	$397.53	$761.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $331.00 / $1,005.41	Professional		$155.44	$331.00	$1,005.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $397.20 / $463.40 / $725.42	Facility		$397.20	$463.40	$725.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $513.86 / $725.42	Professional		$397.20	$513.86	$725.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $590.84	Professional		$331.00	$331.00	$590.84
United Facility/Professional Facility Modifier Low / Median / High Price $331.00 / $331.00 / $761.30	Facility		$331.00	$331.00	$761.30
United Facility/Professional Professional Modifier Low / Median / High Price $155.44 / $198.60 / $612.35	Professional		$155.44	$198.60	$612.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $331.00	Professional		$331.00	$331.00	$331.00