Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.85 / $959.85 / $959.85	Facility		$959.85	$959.85	$959.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $176.35 / $265.42	Professional		$157.46	$176.35	$265.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $305.63 / $469.14	Professional		$156.72	$305.63	$469.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $145.69 / $263.70 / $680.00	Professional		$145.69	$263.70	$680.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $229.26 / $297.27 / $699.32	Facility		$229.26	$297.27	$699.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $326.39 / $1,176.10	Professional		$154.63	$326.39	$1,176.10
Midlands Facility/Professional Facility Modifier Low / Median / High Price $231.05 / $296.45 / $469.14	Facility		$231.05	$296.45	$469.14
Midlands Facility/Professional Professional Modifier Low / Median / High Price $231.05 / $296.45 / $469.14	Professional		$231.05	$296.45	$469.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $732.46 / $793.33	Professional		$73.50	$732.46	$793.33
United Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $250.90 / $444.54	Professional		$154.63	$250.90	$444.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $154.68 / $195.80 / $230.40	Professional		$154.68	$195.80	$230.40