Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.12 / $572.91 / $868.87	Facility		$409.12	$572.91	$868.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.46 / $238.46 / $298.07	Professional		$238.46	$238.46	$298.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.82 / $456.38 / $506.54	Facility		$361.82	$456.38	$506.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.07 / $260.31 / $260.31	Professional		$229.07	$260.31	$260.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $235.97 / $368.82 / $581.70	Professional		$235.97	$368.82	$581.70
Medica Facility/Professional Facility Modifier Low / Median / High Price $233.78 / $292.22 / $482.42	Facility		$233.78	$292.22	$482.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $496.78	Professional		$248.39	$248.39	$496.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $361.82 / $388.35 / $482.42	Facility		$361.82	$388.35	$482.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $260.31 / $260.31 / $260.31	Professional		$260.31	$260.31	$260.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $502.56 / $577.64 / $651.65	Professional		$502.56	$577.64	$651.65
United Facility/Professional Professional Modifier Low / Median / High Price $248.39 / $248.39 / $263.52	Professional		$248.39	$248.39	$263.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $243.52 / $243.52 / $243.52	Facility		$243.52	$243.52	$243.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $192.38 / $243.52 / $243.52	Professional		$192.38	$243.52	$243.52