Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.82 / $590.71 / $913.56	Facility		$356.82	$590.71	$913.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $287.97 / $321.07	Professional		$218.46	$287.97	$321.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $397.20 / $601.23 / $751.54	Professional		$397.20	$601.23	$751.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $453.95 / $579.25	Professional		$320.60	$453.95	$579.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $254.87 / $397.20 / $761.30	Facility		$254.87	$397.20	$761.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $110.77 / $301.70 / $863.91	Professional		$110.77	$301.70	$863.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.70 / $427.14 / $725.42	Facility		$300.70	$427.14	$725.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $430.30 / $716.46	Professional		$301.70	$430.30	$716.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $590.84	Professional		$331.00	$331.00	$590.84
United Facility/Professional Professional Modifier Low / Median / High Price $117.50 / $198.60 / $714.74	Professional		$117.50	$198.60	$714.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.00 / $331.00 / $331.00	Professional		$331.00	$331.00	$331.00