Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $242.30 / $320.83 / $487.67	Facility		$242.30	$320.83	$487.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.19 / $256.67 / $320.83	Professional		$135.19	$256.67	$320.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $206.72 / $272.70	Professional		$165.38	$206.72	$272.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $238.98 / $258.41	Professional		$142.77	$238.98	$258.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $320.83 / $699.17	Facility		$77.84	$320.83	$699.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $267.37 / $482.82	Professional		$151.16	$267.37	$482.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $90.36 / $341.78 / $1,106.46	Facility		$90.36	$341.78	$1,106.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $151.16 / $699.17	Professional		$77.84	$151.16	$699.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $356.32 / $378.63 / $401.64	Professional		$356.32	$378.63	$401.64
United Facility/Professional Professional Modifier Low / Median / High Price $267.37 / $267.37 / $283.64	Professional		$267.37	$267.37	$283.64
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $300.00 / $300.00	Professional		$237.00	$300.00	$300.00