Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.27 / $534.66 / $747.87	Facility		$296.27	$534.66	$747.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $239.10 / $921.60	Professional		$211.62	$239.10	$921.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.06 / $499.39 / $624.24	Professional		$330.06	$499.39	$624.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $302.31 / $480.95 / $562.04	Professional		$302.31	$480.95	$562.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $274.83 / $330.06 / $632.11	Facility		$274.83	$330.06	$632.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $274.83 / $886.90	Professional		$164.90	$274.83	$886.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $503.91 / $610.75	Facility		$329.80	$503.91	$610.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.80 / $503.91 / $640.35	Professional		$329.80	$503.91	$640.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $490.57	Professional		$274.83	$274.83	$490.57
United Facility/Professional Professional Modifier Low / Median / High Price $164.90 / $164.90 / $562.71	Professional		$164.90	$164.90	$562.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.83 / $274.83 / $274.83	Professional		$274.83	$274.83	$274.83