Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.56 / $463.01 / $656.88	Facility		$256.56	$463.01	$656.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.08 / $207.06 / $230.86	Professional		$157.08	$207.06	$230.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.60 / $432.15 / $540.19	Professional		$285.60	$432.15	$540.19
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $211.70 / $306.92 / $416.50	Professional		$211.70	$306.92	$416.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $216.31 / $285.83 / $547.40	Facility		$216.31	$285.83	$547.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $97.01 / $238.00 / $649.02	Professional		$97.01	$238.00	$649.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $263.36 / $331.10 / $521.60	Facility		$263.36	$331.10	$521.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $264.23 / $332.36 / $521.60	Professional		$264.23	$332.36	$521.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $424.83	Professional		$238.00	$238.00	$424.83
United Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $142.80 / $518.84	Professional		$102.91	$142.80	$518.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $238.00 / $238.00	Professional		$238.00	$238.00	$238.00