Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.06 / $240.06 / $254.63	Facility		$240.06	$240.06	$254.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.79 / $185.42 / $310.26	Professional		$138.79	$185.42	$310.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.91 / $192.91 / $378.17	Facility		$192.91	$192.91	$378.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.91 / $400.50 / $500.63	Professional		$192.91	$400.50	$500.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $326.60 / $402.01 / $440.40	Professional		$326.60	$402.01	$440.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $215.97 / $408.10 / $1,609.26	Facility		$215.97	$408.10	$1,609.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $178.01 / $469.00	Professional		$154.02	$178.01	$469.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $377.06 / $378.17 / $469.00	Facility		$377.06	$378.17	$469.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.73 / $441.75 / $722.66	Professional		$309.73	$441.75	$722.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $345.50 / $370.03 / $625.95	Professional		$345.50	$370.03	$625.95
United Facility/Professional Professional Modifier Low / Median / High Price $152.65 / $171.51 / $441.04	Professional		$152.65	$171.51	$441.04
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $336.91 / $336.91 / $336.91	Facility		$336.91	$336.91	$336.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $266.16 / $336.91 / $336.91	Professional		$266.16	$336.91	$336.91