Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.02 / $549.66 / $838.12	Facility		$332.02	$549.66	$838.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $267.95 / $298.76	Professional		$203.28	$267.95	$298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $559.45 / $699.31	Professional		$369.60	$559.45	$699.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $453.95 / $552.00	Professional		$308.00	$453.95	$552.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.29 / $369.60 / $708.40	Facility		$233.29	$369.60	$708.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $96.74 / $277.20 / $803.88	Professional		$96.74	$277.20	$803.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $262.64 / $402.06 / $675.01	Facility		$262.64	$402.06	$675.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $400.40 / $634.48	Professional		$263.52	$400.40	$634.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $549.78	Professional		$308.00	$308.00	$549.78
United Facility/Professional Professional Modifier Low / Median / High Price $102.63 / $184.80 / $465.98	Professional		$102.63	$184.80	$465.98
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Professional		$308.00	$308.00	$308.00