Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $283.07 / $283.07 / $536.40	Facility		$283.07	$283.07	$536.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $243.71 / $283.07	Professional		$243.71	$243.71	$283.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.00 / $292.00 / $292.00	Facility		$292.00	$292.00	$292.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $264.39 / $354.70	Professional		$243.71	$264.39	$354.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $394.88 / $621.02	Professional		$243.71	$394.88	$621.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $243.82 / $283.07 / $441.30	Facility		$243.82	$283.07	$441.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $243.82 / $271.42 / $1,059.88	Professional		$243.82	$271.42	$1,059.88
Midlands Facility/Professional Facility Modifier Low / Median / High Price $288.16 / $365.73 / $489.85	Facility		$288.16	$365.73	$489.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.16 / $312.89 / $369.81	Professional		$288.16	$312.89	$369.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $247.44 / $482.95 / $509.09	Professional		$247.44	$482.95	$509.09
United Facility/Professional Professional Modifier Low / Median / High Price $243.71 / $251.02 / $290.01	Professional		$243.71	$251.02	$290.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $266.83 / $266.83 / $266.83	Facility		$266.83	$266.83	$266.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $210.80 / $266.83 / $266.83	Professional		$210.80	$266.83	$266.83