Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.50 / $438.84 / $741.88	Facility		$232.50	$438.84	$741.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.49 / $233.12 / $301.35	Professional		$216.49	$233.12	$301.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.42 / $542.25 / $677.81	Professional		$363.42	$542.25	$677.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $618.45 / $618.45 / $618.45	Professional		$618.45	$618.45	$618.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $311.81 / $953.48 / $2,195.58	Facility		$311.81	$953.48	$2,195.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.73 / $389.35 / $619.41	Professional		$305.73	$389.35	$619.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $311.81 / $363.42 / $575.74	Facility		$311.81	$363.42	$575.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $305.10 / $409.74 / $626.58	Professional		$305.10	$409.74	$626.58
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $519.79 / $1,593.83 / $2,206.85	Facility		$519.79	$1,593.83	$2,206.85
United Facility/Professional Professional Modifier Low / Median / High Price $332.71 / $384.07 / $541.70	Professional		$332.71	$384.07	$541.70
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $620.00	Facility		$620.00	$620.00	$620.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $620.00 / $620.00	Professional		$620.00	$620.00	$620.00