Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.77 / $424.23 / $906.96	Facility		$250.77	$424.23	$906.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.91 / $189.71 / $299.45	Professional		$167.91	$189.71	$299.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $396.05 / $495.07	Professional		$261.67	$396.05	$495.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $381.61 / $800.77	Professional		$218.06	$381.61	$800.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $218.06 / $286.14 / $598.57	Facility		$218.06	$286.14	$598.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $224.60 / $1,093.64	Professional		$130.84	$224.60	$1,093.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $261.67 / $434.81 / $611.22	Facility		$261.67	$434.81	$611.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $261.67 / $434.81 / $611.48	Professional		$261.67	$434.81	$611.48
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $212.17 / $218.06 / $389.24	Professional		$212.17	$218.06	$389.24
United Facility/Professional Professional Modifier Low / Median / High Price $130.84 / $130.84 / $438.71	Professional		$130.84	$130.84	$438.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $218.06 / $218.06	Professional		$218.06	$218.06	$218.06