Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $213.80 / $758.58	Professional		$181.97	$213.80	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $398.11 / $562.34	Professional		$208.93	$398.11	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $812.83 / $1,047.13	Professional		$218.78	$812.83	$1,047.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $302.00 / $512.86	Facility		$186.21	$302.00	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $363.08 / $2,041.74	Professional		$245.47	$363.08	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $457.09 / $616.60	Professional		$331.13	$457.09	$616.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $436.52 / $616.60	Professional		$398.11	$436.52	$616.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $524.81 / $575.44	Professional		$323.59	$524.81	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $302.00 / $524.81	Professional		$229.09	$302.00	$524.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $457.09 / $457.09	Professional		$363.08	$457.09	$457.09