Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.94 / $247.94 / $499.62	Facility		$247.94	$247.94	$499.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $227.28 / $475.56	Professional		$227.28	$227.28	$475.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $228.16 / $323.25	Professional		$225.90	$228.16	$323.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $227.28 / $442.82	Professional		$177.80	$227.28	$442.82
Medica Facility/Professional Facility Modifier Low / Median / High Price $227.10 / $247.94 / $383.80	Facility		$227.10	$247.94	$383.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $227.10 / $249.81 / $9,490.31	Professional		$227.10	$249.81	$9,490.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $266.05 / $336.14 / $410.38	Facility		$266.05	$336.14	$410.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $279.08 / $340.65	Professional		$196.30	$279.08	$340.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $450.04 / $474.77	Professional		$230.80	$450.04	$474.77
United Facility/Professional Facility Modifier Low / Median / High Price $227.28 / $227.28 / $227.28	Facility		$227.28	$227.28	$227.28
United Facility/Professional Professional Modifier Low / Median / High Price $227.28 / $234.10 / $270.45	Professional		$227.28	$234.10	$270.45
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $248.52 / $248.52 / $248.52	Facility		$248.52	$248.52	$248.52
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $248.52 / $248.52	Professional		$196.33	$248.52	$248.52