Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.32 / $281.32 / $546.70	Facility		$281.32	$281.32	$546.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $248.50 / $534.16	Professional		$248.50	$248.50	$534.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $269.60 / $357.79	Professional		$248.21	$269.60	$357.79
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $354.85 / $525.00	Professional		$248.50	$354.85	$525.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.50 / $281.32 / $432.56	Facility		$248.50	$281.32	$432.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $276.63 / $1,074.29	Professional		$248.50	$276.63	$1,074.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $292.35 / $372.75 / $491.76	Facility		$292.35	$372.75	$491.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $292.35 / $316.31 / $538.76	Professional		$292.35	$316.31	$538.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $253.47 / $492.44 / $519.10	Professional		$253.47	$492.44	$519.10
United Facility/Professional Professional Modifier Low / Median / High Price $248.50 / $255.96 / $295.72	Professional		$248.50	$255.96	$295.72
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $271.94 / $271.94 / $271.94	Facility		$271.94	$271.94	$271.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $214.83 / $271.94 / $271.94	Professional		$214.83	$271.94	$271.94