Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.85 / $535.39 / $816.35	Facility		$272.85	$535.39	$816.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.00 / $261.00 / $291.00	Professional		$198.00	$261.00	$291.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $544.44 / $680.54	Professional		$360.00	$544.44	$680.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $290.11 / $410.77 / $525.00	Professional		$290.11	$410.77	$525.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $127.01 / $360.00 / $690.00	Facility		$127.01	$360.00	$690.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $180.00 / $783.00	Professional		$52.56	$180.00	$783.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $142.69 / $390.00 / $657.48	Facility		$142.69	$390.00	$657.48
Midlands Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $390.00 / $618.00	Professional		$143.16	$390.00	$618.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $535.50	Professional		$300.00	$300.00	$535.50
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $690.00	Facility		$300.00	$300.00	$690.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.76 / $180.00 / $309.00	Professional		$55.76	$180.00	$309.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00