Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.13 / $480.36 / $671.92	Facility		$190.13	$480.36	$671.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.97 / $190.13 / $495.64	Professional		$162.97	$190.13	$495.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.63 / $296.30 / $322.02	Professional		$257.63	$296.30	$322.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.88 / $370.38 / $751.73	Professional		$209.88	$370.38	$751.73
Medica Facility/Professional Facility Modifier Low / Median / High Price $202.44 / $333.34 / $826.17	Facility		$202.44	$333.34	$826.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $185.19 / $641.99	Professional		$129.13	$185.19	$641.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $296.55 / $350.49 / $641.99	Facility		$296.55	$350.49	$641.99
Midlands Facility/Professional Professional Modifier Low / Median / High Price $296.30 / $350.49 / $629.65	Professional		$296.30	$350.49	$629.65
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $256.26 / $256.26 / $256.26	Facility		$256.26	$256.26	$256.26
United Facility/Professional Professional Modifier Low / Median / High Price $129.13 / $148.15 / $456.80	Professional		$129.13	$148.15	$456.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $195.07 / $246.92 / $246.92	Professional		$195.07	$246.92	$246.92