Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.07 / $491.70 / $3,762.29	Facility		$245.07	$491.70	$3,762.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.47 / $254.16 / $322.49	Professional		$218.47	$254.16	$322.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.32 / $488.53 / $621.34	Professional		$250.32	$488.53	$621.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $230.08 / $310.30 / $627.79	Professional		$230.08	$310.30	$627.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $223.76 / $329.94 / $621.34	Facility		$223.76	$329.94	$621.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.07 / $531.87 / $1,550.91	Professional		$291.07	$531.87	$1,550.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $474.35 / $522.36 / $707.74	Facility		$474.35	$522.36	$707.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $474.35 / $522.36 / $634.03	Professional		$474.35	$522.36	$634.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $310.89 / $483.15 / $523.41	Professional		$310.89	$483.15	$523.41
United Facility/Professional Professional Modifier Low / Median / High Price $278.41 / $462.73 / $680.84	Professional		$278.41	$462.73	$680.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $156.50 / $156.50	Professional		$123.64	$156.50	$156.50