Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.96 / $622.53 / $870.78	Facility		$344.96	$622.53	$870.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.20 / $278.39 / $310.39	Professional		$211.20	$278.39	$310.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $384.32 / $580.99 / $726.24	Professional		$384.32	$580.99	$726.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $352.00 / $560.00 / $1,376.72	Professional		$352.00	$560.00	$1,376.72
Medica Facility/Professional Facility Modifier Low / Median / High Price $304.00 / $384.32 / $736.00	Facility		$304.00	$384.32	$736.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $320.00 / $1,256.11	Professional		$192.00	$320.00	$1,256.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $586.76 / $711.13	Facility		$384.00	$586.76	$711.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $586.76 / $816.00	Professional		$384.00	$586.76	$816.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $571.20	Professional		$320.00	$320.00	$571.20
United Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $192.00 / $655.20	Professional		$192.00	$192.00	$655.20
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $320.00	Professional		$320.00	$320.00	$320.00