Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.09 / $177.09 / $268.69	Facility		$177.09	$177.09	$268.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $158.99 / $254.30	Professional		$111.15	$158.99	$254.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.95 / $214.95 / $319.56	Facility		$214.95	$214.95	$319.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.95 / $319.56 / $387.66	Professional		$214.95	$319.56	$387.66
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $209.94 / $335.28 / $363.33	Professional		$209.94	$335.28	$363.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $158.99 / $376.43 / $1,096.95	Facility		$158.99	$376.43	$1,096.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $160.34 / $182.78 / $444.47	Professional		$160.34	$182.78	$444.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $319.56 / $346.16 / $437.29	Facility		$319.56	$346.16	$437.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $314.79 / $377.66 / $675.73	Professional		$314.79	$377.66	$675.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $224.35 / $240.28 / $405.12	Professional		$224.35	$240.28	$405.12
United Facility/Professional Professional Modifier Low / Median / High Price $161.78 / $167.69 / $382.29	Professional		$161.78	$167.69	$382.29
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $284.70 / $284.70 / $284.70	Facility		$284.70	$284.70	$284.70
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $224.91 / $284.70 / $284.70	Professional		$224.91	$284.70	$284.70