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 / $253.72 / $319.62	Professional		$217.48	$253.72	$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 $362.46 / $576.64 / $866.45	Professional		$362.46	$576.64	$866.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $329.51 / $425.21 / $843.55	Facility		$329.51	$425.21	$843.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $197.71 / $296.56 / $1,238.06	Professional		$197.71	$296.56	$1,238.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $395.41 / $461.31 / $722.15	Facility		$395.41	$461.31	$722.15
Midlands Facility/Professional Professional Modifier Low / Median / High Price $395.41 / $602.59 / $860.02	Professional		$395.41	$602.59	$860.02
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 / $609.59	Professional		$197.71	$197.71	$609.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $329.51 / $329.51 / $329.51	Professional		$329.51	$329.51	$329.51