Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.90 / $631.45 / $883.25	Facility		$349.90	$631.45	$883.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.93 / $282.38 / $437.82	Professional		$249.93	$282.38	$437.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.82 / $589.48 / $736.85	Professional		$389.82	$589.48	$736.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $357.04 / $568.02 / $934.65	Professional		$357.04	$568.02	$934.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $323.97 / $418.85 / $746.53	Facility		$323.97	$418.85	$746.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $324.58 / $1,274.09	Professional		$194.75	$324.58	$1,274.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $389.50 / $595.16 / $721.31	Facility		$389.50	$595.16	$721.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $389.50 / $595.16 / $827.68	Professional		$389.50	$595.16	$827.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $579.38	Professional		$324.58	$324.58	$579.38
United Facility/Professional Professional Modifier Low / Median / High Price $194.75 / $194.75 / $664.58	Professional		$194.75	$194.75	$664.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $324.58 / $324.58 / $324.58	Professional		$324.58	$324.58	$324.58