Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $389.05	Facility		$331.13	$331.13	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $467.74	Professional		$223.87	$302.00	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $602.56	Facility		$331.13	$331.13	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $630.96 / $794.33	Professional		$331.13	$630.96	$794.33
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $676.08	Professional		$457.09	$630.96	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $691.83 / $2,754.23	Facility		$363.08	$691.83	$2,754.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $338.84 / $891.25	Professional		$257.04	$338.84	$891.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $602.56 / $812.83	Professional		$588.84	$602.56	$812.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $891.25 / $891.25	Professional		$602.56	$891.25	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,148.15	Professional		$537.03	$724.44	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $363.08 / $870.96	Facility		$204.17	$363.08	$870.96
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $489.78	Professional		$263.03	$263.03	$489.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $524.81 / $524.81	Professional		$416.87	$524.81	$524.81