Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $338.84 / $501.19	Facility		$141.25	$338.84	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $234.42	Professional		$128.82	$154.88	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $446.68	Professional		$239.88	$354.81	$446.68
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $338.84 / $562.34	Professional		$158.49	$338.84	$562.34
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $223.87 / $478.63	Facility		$186.21	$223.87	$478.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $186.21 / $741.31	Professional		$112.20	$186.21	$741.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $239.88	Professional		$223.87	$223.87	$239.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $199.53 / $398.11	Professional		$186.21	$199.53	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $426.58	Facility		$186.21	$186.21	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $467.74	Professional		$112.20	$112.20	$467.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Professional		$186.21	$186.21	$186.21