Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.76 / $186.76 / $217.91	Facility		$186.76	$186.76	$217.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.30 / $127.12 / $203.49	Professional		$98.30	$127.12	$203.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.30 / $273.64 / $456.46	Professional		$90.30	$273.64	$456.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $217.35 / $358.09	Professional		$124.39	$217.35	$358.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $104.54 / $216.51 / $522.27	Facility		$104.54	$216.51	$522.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.83 / $319.36 / $1,019.28	Professional		$169.83	$319.36	$1,019.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $194.04 / $273.64 / $348.11	Facility		$194.04	$273.64	$348.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $184.54 / $283.62 / $407.14	Professional		$184.54	$283.62	$407.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $210.72 / $281.45	Professional		$118.05	$210.72	$281.45
United Facility/Professional Professional Modifier Low / Median / High Price $169.34 / $179.18 / $596.17	Professional		$169.34	$179.18	$596.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.00 / $277.60 / $327.80	Professional		$236.00	$277.60	$327.80