Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.66 / $382.16 / $682.10	Facility		$223.66	$382.16	$682.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.04 / $196.96 / $326.20	Professional		$176.04	$196.96	$326.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $274.73 / $429.99	Professional		$236.87	$274.73	$429.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $144.88 / $208.49 / $578.25	Professional		$144.88	$208.49	$578.25
Medica Facility/Professional Facility Modifier Low / Median / High Price $182.50 / $271.70 / $429.99	Facility		$182.50	$271.70	$429.99
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $417.08 / $1,234.73	Professional		$227.48	$417.08	$1,234.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $236.87 / $277.13 / $429.99	Facility		$236.87	$277.13	$429.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $236.87 / $358.20 / $429.99	Professional		$236.87	$358.20	$429.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $603.55 / $692.69	Professional		$171.30	$603.55	$692.69
United Facility/Professional Professional Modifier Low / Median / High Price $218.17 / $395.89 / $533.53	Professional		$218.17	$395.89	$533.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $123.64 / $156.50 / $156.50	Professional		$123.64	$156.50	$156.50