Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.75 / $479.58 / $769.78	Facility		$265.75	$479.58	$769.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $214.47 / $239.12	Professional		$162.69	$214.47	$239.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.82 / $447.82 / $559.78	Professional		$295.82	$447.82	$559.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.54 / $271.17 / $431.41	Professional		$209.54	$271.17	$431.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $246.52 / $318.11 / $567.00	Facility		$246.52	$318.11	$567.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $246.52 / $959.17	Professional		$147.91	$246.52	$959.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $295.82 / $402.57 / $540.27	Facility		$295.82	$402.57	$540.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.82 / $443.74 / $540.27	Professional		$295.82	$443.74	$540.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $440.04	Professional		$246.52	$246.52	$440.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $537.41	Professional		$147.91	$147.91	$537.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $246.52 / $246.52	Professional		$246.52	$246.52	$246.52