Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.72 / $442.72 / $842.75	Facility		$442.72	$442.72	$842.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $391.07 / $835.60	Professional		$391.07	$391.07	$835.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $424.27 / $533.04	Professional		$370.69	$424.27	$533.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $270.06 / $430.18 / $935.71	Professional		$270.06	$430.18	$935.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.07 / $442.72 / $647.39	Facility		$383.07	$442.72	$647.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $383.07 / $426.44 / $1,601.59	Professional		$383.07	$426.44	$1,601.59
Midlands Facility/Professional Facility Modifier Low / Median / High Price $435.30 / $545.75 / $710.64	Facility		$435.30	$545.75	$710.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $429.64 / $471.58 / $797.99	Professional		$429.64	$471.58	$797.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $538.60 / $776.27 / $816.91	Professional		$538.60	$776.27	$816.91
United Facility/Professional Professional Modifier Low / Median / High Price $391.07 / $402.80 / $465.37	Professional		$391.07	$402.80	$465.37
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $419.21 / $419.21 / $419.21	Facility		$419.21	$419.21	$419.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $331.18 / $419.21 / $419.21	Professional		$331.18	$419.21	$419.21