Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.48 / $403.31 / $1,343.69	Facility		$223.48	$403.31	$1,343.69
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 / $342.06 / $503.95	Professional		$207.31	$342.06	$503.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $207.31 / $269.50 / $649.91	Facility		$207.31	$269.50	$649.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $258.83 / $1,488.30	Professional		$124.39	$258.83	$1,488.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $248.77 / $422.37 / $883.46	Facility		$248.77	$422.37	$883.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $248.98 / $427.06 / $905.92	Professional		$248.98	$427.06	$905.92
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 Professional Modifier Low / Median / High Price $124.39 / $124.39 / $502.16	Professional		$124.39	$124.39	$502.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $207.31 / $207.31 / $207.31	Professional		$207.31	$207.31	$207.31