Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.90 / $242.22 / $465.31	Facility		$162.90	$242.22	$465.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.90 / $244.90 / $244.90	Professional		$244.90	$244.90	$244.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.00 / $321.00 / $401.25	Professional		$321.00	$321.00	$401.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $332.33 / $707.55	Professional		$150.00	$332.33	$707.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $306.12 / $481.97	Facility		$103.42	$306.12	$481.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $460.66	Professional		$255.10	$255.10	$460.66
Midlands Facility/Professional Facility Modifier Low / Median / High Price $103.42 / $261.02 / $615.80	Facility		$103.42	$261.02	$615.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $103.42 / $261.02 / $571.02	Professional		$103.42	$261.02	$571.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $567.95 / $603.79 / $640.53	Professional		$567.95	$603.79	$640.53
United Facility/Professional Professional Modifier Low / Median / High Price $255.10 / $255.10 / $280.61	Professional		$255.10	$255.10	$280.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $201.53 / $255.10 / $255.10	Professional		$201.53	$255.10	$255.10