Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.76 / $245.76 / $477.60	Facility		$245.76	$245.76	$477.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $217.09 / $245.76	Professional		$217.09	$217.09	$245.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $235.52 / $321.83	Professional		$217.09	$235.52	$321.83
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $392.93 / $750.27	Professional		$217.09	$392.93	$750.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $217.09 / $245.76 / $394.02	Facility		$217.09	$245.76	$394.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $241.67 / $948.17	Professional		$217.09	$241.67	$948.17
Midlands Facility/Professional Facility Modifier Low / Median / High Price $257.70 / $325.63 / $417.85	Facility		$257.70	$325.63	$417.85
Midlands Facility/Professional Professional Modifier Low / Median / High Price $257.70 / $280.83 / $330.72	Professional		$257.70	$280.83	$330.72
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $430.20 / $453.48	Professional		$222.21	$430.20	$453.48
United Facility/Professional Professional Modifier Low / Median / High Price $217.09 / $223.60 / $258.33	Professional		$217.09	$223.60	$258.33
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $237.57 / $237.57 / $237.57	Facility		$237.57	$237.57	$237.57
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $187.68 / $237.57 / $237.57	Professional		$187.68	$237.57	$237.57