Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.08 / $341.23 / $477.30	Facility		$189.08	$341.23	$477.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.76 / $135.06 / $170.14	Professional		$115.76	$135.06	$170.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $318.57 / $398.21	Professional		$210.66	$318.57	$398.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $192.94 / $306.95 / $644.15	Professional		$192.94	$306.95	$644.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $175.40 / $226.34 / $449.02	Facility		$175.40	$226.34	$449.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $157.86 / $659.02	Professional		$105.24	$157.86	$659.02
Midlands Facility/Professional Facility Modifier Low / Median / High Price $210.48 / $245.56 / $384.40	Facility		$210.48	$245.56	$384.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $210.48 / $320.76 / $457.79	Professional		$210.48	$320.76	$457.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $313.08	Professional		$175.40	$175.40	$313.08
United Facility/Professional Facility Modifier Low / Median / High Price $263.10 / $263.10 / $263.10	Facility		$263.10	$263.10	$263.10
United Facility/Professional Professional Modifier Low / Median / High Price $105.24 / $105.24 / $382.37	Professional		$105.24	$105.24	$382.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $175.40 / $175.40	Professional		$175.40	$175.40	$175.40