Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.86 / $586.25 / $820.03	Facility		$324.86	$586.25	$820.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.89 / $262.17 / $292.31	Professional		$198.89	$262.17	$292.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.92 / $547.70 / $684.62	Professional		$361.92	$547.70	$684.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $331.49 / $527.36 / $603.73	Professional		$331.49	$527.36	$603.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $300.60 / $361.92 / $804.60	Facility		$300.60	$361.92	$804.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $301.35 / $1,185.54	Professional		$180.81	$301.35	$1,185.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.62 / $552.54 / $875.41	Facility		$361.62	$552.54	$875.41
Midlands Facility/Professional Professional Modifier Low / Median / High Price $361.62 / $552.54 / $768.44	Professional		$361.62	$552.54	$768.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $537.91	Professional		$301.35	$301.35	$537.91
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $972.49	Professional		$180.81	$180.81	$972.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $301.35 / $301.35 / $301.35	Professional		$301.35	$301.35	$301.35