Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.43 / $392.43 / $415.37	Facility		$392.43	$392.43	$415.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.85 / $303.01 / $507.13	Professional		$226.85	$303.01	$507.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $618.16	Facility		$315.25	$315.25	$618.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.25 / $654.75 / $818.44	Professional		$315.25	$654.75	$818.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.00 / $550.50 / $564.79	Professional		$508.00	$550.50	$564.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $353.03 / $667.13 / $2,629.88	Facility		$353.03	$667.13	$2,629.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $290.89 / $766.42	Professional		$251.69	$290.89	$766.42
Midlands Facility/Professional Facility Modifier Low / Median / High Price $616.35 / $618.16 / $766.42	Facility		$616.35	$618.16	$766.42
Midlands Facility/Professional Professional Modifier Low / Median / High Price $506.28 / $722.10 / $1,181.31	Professional		$506.28	$722.10	$1,181.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $564.79 / $604.90 / $1,023.18	Professional		$564.79	$604.90	$1,023.18
United Facility/Professional Professional Modifier Low / Median / High Price $249.45 / $280.36 / $661.23	Professional		$249.45	$280.36	$661.23
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $550.73 / $550.73 / $550.73	Facility		$550.73	$550.73	$550.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $435.08 / $550.73 / $550.73	Professional		$435.08	$550.73	$550.73