Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.35 / $338.02 / $338.02	Facility		$324.35	$338.02	$338.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.16 / $250.04 / $369.28	Professional		$170.16	$250.04	$369.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.20 / $273.20 / $504.50	Facility		$273.20	$273.20	$504.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $564.00 / $705.00	Professional		$273.20	$564.00	$705.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.46 / $467.55 / $495.45	Professional		$413.46	$467.55	$495.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $288.12 / $574.63 / $2,218.98	Facility		$288.12	$574.63	$2,218.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $206.27 / $238.40 / $626.63	Professional		$206.27	$238.40	$626.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $503.02 / $504.50 / $628.10	Facility		$503.02	$504.50	$628.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $413.21 / $589.33 / $964.10	Professional		$413.21	$589.33	$964.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $467.81 / $501.02 / $868.37	Professional		$467.81	$501.02	$868.37
United Facility/Professional Professional Modifier Low / Median / High Price $204.43 / $228.81 / $601.58	Professional		$204.43	$228.81	$601.58
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $449.47 / $449.47 / $449.47	Facility		$449.47	$449.47	$449.47
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $355.08 / $449.47 / $449.47	Professional		$355.08	$449.47	$449.47