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 $317.12 / $459.75 / $576.64	Professional		$317.12	$459.75	$576.64
Medica Facility/Professional Facility Modifier Low / Median / High Price $328.64 / $425.21 / $757.87	Facility		$328.64	$425.21	$757.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $329.51 / $1,293.46	Professional		$197.71	$329.51	$1,293.46
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $604.20 / $732.26	Facility		$395.41	$604.20	$732.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $604.20 / $840.25	Professional		$395.41	$604.20	$840.25
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 Professional Modifier Low / Median / High Price $197.71 / $197.71 / $674.67	Professional		$197.71	$197.71	$674.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51