Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $318.86 / $575.44 / $804.90	Facility		$318.86	$575.44	$804.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $257.33 / $286.92	Professional		$195.22	$257.33	$286.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.24 / $537.25 / $671.57	Professional		$355.24	$537.25	$671.57
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $325.37 / $517.63 / $746.46	Professional		$325.37	$517.63	$746.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $291.49 / $370.62 / $680.32	Facility		$291.49	$370.62	$680.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $295.79 / $1,135.39	Professional		$177.47	$295.79	$1,135.39
Midlands Facility/Professional Facility Modifier Low / Median / High Price $354.95 / $542.36 / $648.25	Facility		$354.95	$542.36	$648.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $354.95 / $542.36 / $670.19	Professional		$354.95	$542.36	$670.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $527.99	Professional		$295.79	$295.79	$527.99
United Facility/Professional Professional Modifier Low / Median / High Price $177.47 / $177.47 / $605.63	Professional		$177.47	$177.47	$605.63
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $295.79 / $295.79 / $295.79	Professional		$295.79	$295.79	$295.79