Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $514.24 / $751.02	Facility		$264.33	$514.24	$751.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.46 / $229.98 / $256.41	Professional		$174.46	$229.98	$256.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $479.81 / $599.76	Professional		$317.47	$479.81	$599.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $436.41 / $527.77	Professional		$264.33	$436.41	$527.77
Medica Facility/Professional Facility Modifier Low / Median / High Price $264.33 / $343.64 / $653.92	Facility		$264.33	$343.64	$653.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $317.47 / $935.75	Professional		$246.93	$317.47	$935.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $317.47 / $475.81 / $653.92	Facility		$317.47	$475.81	$653.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $317.47 / $475.81 / $653.92	Professional		$317.47	$475.81	$653.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $264.33 / $471.85	Professional		$257.20	$264.33	$471.85
United Facility/Professional Professional Modifier Low / Median / High Price $246.93 / $264.33 / $618.82	Professional		$246.93	$264.33	$618.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $264.33 / $264.33	Professional		$264.33	$264.33	$264.33