Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.22 / $581.44 / $886.58	Facility		$351.22	$581.44	$886.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.03 / $250.87 / $250.87	Professional		$215.03	$250.87	$250.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $591.44 / $739.30	Professional		$374.18	$591.44	$739.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $276.93 / $472.41 / $740.14	Professional		$276.93	$472.41	$740.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $154.69 / $390.96 / $749.34	Facility		$154.69	$390.96	$749.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $195.48 / $671.15	Professional		$95.13	$195.48	$671.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $141.27 / $425.30 / $714.02	Facility		$141.27	$425.30	$714.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $211.38 / $425.30 / $714.02	Professional		$211.38	$425.30	$714.02
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $649.54 / $649.54 / $649.54	Facility		$649.54	$649.54	$649.54
United Facility/Professional Facility Modifier Low / Median / High Price $325.80 / $325.80 / $325.80	Facility		$325.80	$325.80	$325.80
United Facility/Professional Professional Modifier Low / Median / High Price $95.13 / $195.48 / $511.66	Professional		$95.13	$195.48	$511.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.38 / $325.80 / $325.80	Professional		$257.38	$325.80	$325.80