Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $489.78 / $724.44	Facility		$199.53	$489.78	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $218.78 / $331.13	Professional		$181.97	$218.78	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $501.19 / $630.96	Professional		$316.23	$501.19	$630.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $457.09 / $524.81	Professional		$223.87	$457.09	$524.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $309.03 / $660.69	Facility		$245.47	$309.03	$660.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $1,023.29	Professional		$154.88	$263.03	$1,023.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $338.84	Professional		$316.23	$316.23	$338.84
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $281.84 / $549.54	Professional		$263.03	$281.84	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $575.44	Facility		$263.03	$263.03	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $602.56	Professional		$154.88	$154.88	$602.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Professional		$263.03	$263.03	$263.03