Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.90 / $210.90 / $211.63	Facility		$210.90	$210.90	$211.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $160.07 / $238.03	Professional		$109.68	$160.07	$238.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $342.65	Facility		$175.81	$175.81	$342.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.81 / $351.75 / $439.69	Professional		$175.81	$351.75	$439.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $264.77 / $303.52 / $422.14	Professional		$264.77	$303.52	$422.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.68 / $358.66 / $1,417.95	Facility		$195.68	$358.66	$1,417.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $132.96 / $158.15 / $408.57	Professional		$132.96	$158.15	$408.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $341.65 / $342.65 / $410.67	Facility		$341.65	$342.65	$410.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $280.62 / $400.26 / $654.79	Professional		$280.62	$400.26	$654.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $309.60 / $331.58 / $556.03	Professional		$309.60	$331.58	$556.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.77 / $155.40 / $366.44	Professional		$131.77	$155.40	$366.44
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $305.27 / $305.27 / $305.27	Facility		$305.27	$305.27	$305.27
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $241.16 / $305.27 / $305.27	Professional		$241.16	$305.27	$305.27