Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $238.85 / $238.85 / $241.13	Facility		$238.85	$238.85	$241.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.08 / $182.54 / $304.33	Professional		$125.08	$182.54	$304.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.91 / $189.91 / $348.14	Facility		$189.91	$189.91	$348.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.91 / $398.63 / $498.28	Professional		$189.91	$398.63	$498.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $296.67 / $316.49 / $343.76	Professional		$296.67	$316.49	$343.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $198.82 / $406.05 / $1,586.19	Facility		$198.82	$406.05	$1,586.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.27 / $171.30 / $432.41	Professional		$150.27	$171.30	$432.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $347.12 / $348.14 / $461.69	Facility		$347.12	$348.14	$461.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $285.13 / $411.44 / $665.26	Professional		$285.13	$411.44	$665.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $322.82 / $350.64 / $613.61	Professional		$322.82	$350.64	$613.61
United Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $157.88 / $406.01	Professional		$151.62	$157.88	$406.01
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $310.16 / $310.16 / $310.16	Facility		$310.16	$310.16	$310.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $245.03 / $310.16 / $310.16	Professional		$245.03	$310.16	$310.16