Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $344.82 / $753.20	Facility		$191.07	$344.82	$753.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.47 / $154.21 / $260.20	Professional		$136.47	$154.21	$260.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $321.83 / $402.29	Professional		$212.88	$321.83	$402.29
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $292.45 / $589.84	Professional		$177.25	$292.45	$589.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $177.25 / $230.43 / $497.08	Facility		$177.25	$230.43	$497.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $182.57 / $886.25	Professional		$106.35	$182.57	$886.25
Midlands Facility/Professional Facility Modifier Low / Median / High Price $212.70 / $361.10 / $497.08	Facility		$212.70	$361.10	$497.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $212.88 / $361.10 / $507.80	Professional		$212.88	$361.10	$507.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $316.39	Professional		$177.25	$177.25	$316.39
United Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $106.35 / $429.33	Professional		$106.35	$106.35	$429.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $177.25 / $177.25 / $177.25	Professional		$177.25	$177.25	$177.25