Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.75 / $404.00 / $498.32	Facility		$217.75	$404.00	$498.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.98 / $347.68 / $606.23	Professional		$264.98	$347.68	$606.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $674.64	Facility		$465.67	$465.67	$674.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $566.63 / $708.28	Professional		$465.67	$566.63	$708.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $471.42 / $633.36 / $867.36	Professional		$471.42	$633.36	$867.36
Medica Facility/Professional Facility Modifier Low / Median / High Price $342.49 / $770.61 / $2,424.52	Facility		$342.49	$770.61	$2,424.52
Medica Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $379.36 / $935.82	Professional		$327.44	$379.36	$935.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $674.64 / $682.16 / $925.12	Facility		$674.64	$682.16	$925.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $674.64 / $806.48 / $1,430.98	Professional		$674.64	$806.48	$1,430.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $496.23 / $531.46 / $896.11	Professional		$496.23	$531.46	$896.11
United Facility/Professional Professional Modifier Low / Median / High Price $327.44 / $348.45 / $717.12	Professional		$327.44	$348.45	$717.12
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $601.04 / $601.04 / $601.04	Facility		$601.04	$601.04	$601.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $474.82 / $601.04 / $601.04	Professional		$474.82	$601.04	$601.04