Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.60 / $234.78 / $234.78	Facility		$221.60	$234.78	$234.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $180.95 / $269.08	Professional		$125.93	$180.95	$269.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.57 / $218.57 / $331.40	Facility		$218.57	$218.57	$331.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.57 / $391.88 / $489.84	Professional		$218.57	$391.88	$489.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $286.20 / $352.28 / $393.32	Professional		$286.20	$352.28	$393.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $189.26 / $387.13 / $1,607.39	Facility		$189.26	$387.13	$1,607.39
Medica Facility/Professional Professional Modifier Low / Median / High Price $144.03 / $169.81 / $411.64	Professional		$144.03	$169.81	$411.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $330.44 / $331.40 / $457.67	Facility		$330.44	$331.40	$457.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $271.43 / $391.65 / $633.29	Professional		$271.43	$391.65	$633.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $307.30 / $344.65 / $603.13	Professional		$307.30	$344.65	$603.13
United Facility/Professional Professional Modifier Low / Median / High Price $143.60 / $150.31 / $354.49	Professional		$143.60	$150.31	$354.49
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $295.24 / $295.24 / $295.24	Facility		$295.24	$295.24	$295.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $233.24 / $295.24 / $295.24	Professional		$233.24	$295.24	$295.24