Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $256.23 / $298.33 / $403.39	Facility		$256.23	$298.33	$403.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.01 / $195.17 / $673.77	Professional		$146.01	$195.17	$673.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $336.28 / $452.79	Professional		$180.43	$336.28	$452.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $173.58 / $298.47 / $920.54	Professional		$173.58	$298.47	$920.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $200.24 / $327.33 / $421.17	Facility		$200.24	$327.33	$421.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $237.52 / $398.05 / $1,355.26	Professional		$237.52	$398.05	$1,355.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $360.52 / $684.30	Facility		$353.00	$360.52	$684.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $336.28 / $395.12 / $684.30	Professional		$336.28	$395.12	$684.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $180.60 / $247.39 / $458.57	Professional		$180.60	$247.39	$458.57
United Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $291.51 / $501.39	Professional		$226.53	$291.51	$501.39
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $253.20 / $296.80	Professional		$215.20	$253.20	$296.80