Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $367.20 / $367.20 / $698.32	Facility		$367.20	$367.20	$698.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $318.52 / $367.20	Professional		$318.52	$318.52	$367.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $345.58 / $459.99	Professional		$318.52	$345.58	$459.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $454.62 / $672.60	Professional		$318.52	$454.62	$672.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $317.42 / $367.20 / $578.71	Facility		$317.42	$367.20	$578.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $317.42 / $353.36 / $1,374.70	Professional		$317.42	$353.36	$1,374.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $375.59 / $476.13 / $631.58	Facility		$375.59	$476.13	$631.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $375.59 / $405.06 / $736.46	Professional		$375.59	$405.06	$736.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $323.89 / $631.22 / $665.38	Professional		$323.89	$631.22	$665.38
United Facility/Professional Professional Modifier Low / Median / High Price $318.52 / $328.09 / $379.05	Professional		$318.52	$328.09	$379.05
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $347.37 / $347.37 / $347.37	Facility		$347.37	$347.37	$347.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $347.37 / $347.37	Professional		$274.42	$347.37	$347.37