Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $355.21 / $641.02 / $896.65	Facility		$355.21	$641.02	$896.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.48 / $286.67 / $319.62	Professional		$217.48	$286.67	$319.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.74 / $598.62 / $748.27	Professional		$395.74	$598.62	$748.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $362.46 / $576.64 / $841.19	Professional		$362.46	$576.64	$841.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $324.64 / $412.88 / $757.87	Facility		$324.64	$412.88	$757.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $329.51 / $1,264.83	Professional		$197.71	$329.51	$1,264.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $604.20 / $722.15	Facility		$395.41	$604.20	$722.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $604.20 / $746.60	Professional		$395.41	$604.20	$746.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $588.17	Professional		$329.51	$329.51	$588.17
United Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Facility		$329.51	$329.51	$329.51
United Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $197.71 / $718.33	Professional		$197.71	$197.71	$718.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51