Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.01 / $577.78 / $880.99	Facility		$349.01	$577.78	$880.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.68 / $249.29 / $249.29	Professional		$213.68	$249.29	$249.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.11 / $588.16 / $735.22	Professional		$372.11	$588.16	$735.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.19 / $469.44 / $585.99	Professional		$275.19	$469.44	$585.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $170.30 / $355.80 / $744.63	Facility		$170.30	$355.80	$744.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $194.25 / $700.08	Professional		$104.64	$194.25	$700.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $155.38 / $417.78 / $709.53	Facility		$155.38	$417.78	$709.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $232.51 / $417.78 / $709.53	Professional		$232.51	$417.78	$709.53
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $733.77 / $733.77 / $733.77	Facility		$733.77	$733.77	$733.77
United Facility/Professional Facility Modifier Low / Median / High Price $323.75 / $323.75 / $744.63	Facility		$323.75	$323.75	$744.63
United Facility/Professional Professional Modifier Low / Median / High Price $104.64 / $194.25 / $562.80	Professional		$104.64	$194.25	$562.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $255.76 / $323.75 / $323.75	Professional		$255.76	$323.75	$323.75