Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $309.03	Facility		$281.84	$281.84	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $229.09	Professional		$97.72	$138.04	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $331.13	Professional		$169.82	$190.55	$331.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $467.74	Professional		$190.55	$316.23	$467.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $269.15 / $707.95	Facility		$173.78	$269.15	$707.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $295.12 / $1,202.26	Professional		$147.91	$295.12	$1,202.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $190.55	Professional		$177.83	$177.83	$190.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $158.49 / $316.23	Professional		$144.54	$158.49	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $158.49 / $575.44	Professional		$147.91	$158.49	$575.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91