Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $332.02 / $599.19 / $838.12	Facility		$332.02	$599.19	$838.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.28 / $237.16 / $298.76	Professional		$203.28	$237.16	$298.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.90 / $559.45 / $699.31	Professional		$369.90	$559.45	$699.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $320.60 / $464.80 / $552.00	Professional		$320.60	$464.80	$552.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $308.00 / $397.45 / $788.48	Facility		$308.00	$397.45	$788.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $277.20 / $1,157.25	Professional		$184.80	$277.20	$1,157.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $369.60 / $431.20 / $675.01	Facility		$369.60	$431.20	$675.01
Midlands Facility/Professional Professional Modifier Low / Median / High Price $369.60 / $563.26 / $803.88	Professional		$369.60	$563.26	$803.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $549.78	Professional		$308.00	$308.00	$549.78
United Facility/Professional Professional Modifier Low / Median / High Price $184.80 / $184.80 / $569.79	Professional		$184.80	$184.80	$569.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $308.00 / $308.00 / $308.00	Professional		$308.00	$308.00	$308.00