Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $403.31 / $880.95	Facility		$223.48	$403.31	$880.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $180.36 / $201.09	Professional		$136.82	$180.36	$201.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $376.67 / $470.83	Professional		$248.98	$376.67	$470.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $310.97 / $381.44	Professional		$207.31	$310.97	$381.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $269.50 / $581.39	Facility		$207.31	$269.50	$581.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $213.53 / $1,036.55	Professional		$124.39	$213.53	$1,036.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $422.37 / $581.39	Facility		$248.77	$422.37	$581.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $422.37 / $593.94	Professional		$248.98	$422.37	$593.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $370.05	Professional		$207.31	$207.31	$370.05
United Facility/Professional Facility Modifier Low / Median / High Price $310.97 / $310.97 / $310.97	Facility		$310.97	$310.97	$310.97
United Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $426.15	Professional		$124.39	$124.39	$426.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31