Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.05 / $173.05 / $254.63	Facility		$173.05	$173.05	$254.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $156.19 / $238.67	Professional		$99.83	$156.19	$238.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.82 / $211.82 / $308.39	Facility		$211.82	$211.82	$308.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $246.38 / $308.39	Professional		$211.82	$246.38	$308.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $184.14 / $327.14 / $354.52	Professional		$184.14	$327.14	$354.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $156.19 / $363.03 / $943.35	Facility		$156.19	$363.03	$943.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $181.22 / $469.71	Professional		$154.02	$181.22	$469.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.39 / $332.85 / $420.47	Facility		$308.39	$332.85	$420.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $368.77 / $648.61	Professional		$308.39	$368.77	$648.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $189.11 / $218.40 / $379.60	Professional		$189.11	$218.40	$379.60
United Facility/Professional Professional Modifier Low / Median / High Price $154.02 / $171.51 / $365.57	Professional		$154.02	$171.51	$365.57
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $274.74 / $274.74 / $274.74	Facility		$274.74	$274.74	$274.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $217.04 / $274.74 / $274.74	Professional		$217.04	$274.74	$274.74