Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.96 / $429.43 / $938.03	Facility		$237.96	$429.43	$938.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $192.04 / $214.12	Professional		$145.69	$192.04	$214.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $400.82 / $501.02	Professional		$265.11	$400.82	$501.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $331.11 / $399.54	Professional		$220.74	$331.11	$399.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.74 / $286.95 / $619.04	Facility		$220.74	$286.95	$619.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $227.36 / $1,103.70	Professional		$132.44	$227.36	$1,103.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $264.89 / $449.74 / $619.04	Facility		$264.89	$449.74	$619.04
Midlands Facility/Professional Professional Modifier Low / Median / High Price $265.11 / $449.74 / $632.41	Professional		$265.11	$449.74	$632.41
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $220.74 / $394.02	Professional		$220.74	$220.74	$394.02
United Facility/Professional Professional Modifier Low / Median / High Price $132.44 / $132.44 / $534.69	Professional		$132.44	$132.44	$534.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $220.74 / $220.74 / $220.74	Professional		$220.74	$220.74	$220.74