Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.95 / $348.61 / $52,479.99	Facility		$183.95	$348.61	$52,479.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $183.95 / $302.83	Professional		$183.47	$183.95	$302.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $185.44 / $265.18	Professional		$183.48	$185.44	$265.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $132.56 / $183.48 / $407.30	Professional		$132.56	$183.48	$407.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $188.92 / $309.95	Facility		$183.41	$188.92	$309.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $183.41 / $204.17 / $7,591.34	Professional		$183.41	$204.17	$7,591.34
Midlands Facility/Professional Facility Modifier Low / Median / High Price $216.26 / $270.32 / $336.22	Facility		$216.26	$270.32	$336.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $232.31 / $277.27	Professional		$178.36	$232.31	$277.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $186.91 / $363.31 / $383.27	Professional		$186.91	$363.31	$383.27
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $194.49 / $243.62	Professional		$183.48	$194.49	$243.62
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $200.72 / $200.72 / $200.72	Facility		$200.72	$200.72	$200.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $158.57 / $200.72 / $200.72	Professional		$158.57	$200.72	$200.72