Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.36 / $391.21 / $391.21	Facility		$365.36	$391.21	$391.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.67 / $301.61 / $474.47	Professional		$206.67	$301.61	$474.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $313.79 / $313.79 / $637.62	Facility		$313.79	$313.79	$637.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.79 / $652.88 / $816.09	Professional		$313.79	$652.88	$816.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $492.70 / $567.03 / $612.66	Professional		$492.70	$567.03	$612.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.14 / $667.67 / $2,738.27	Facility		$364.14	$667.67	$2,738.27
Medica Facility/Professional Professional Modifier Low / Median / High Price $250.53 / $298.01 / $762.89	Professional		$250.53	$298.01	$762.89
Midlands Facility/Professional Facility Modifier Low / Median / High Price $635.75 / $637.62 / $764.18	Facility		$635.75	$637.62	$764.18
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.22 / $744.82 / $1,218.47	Professional		$522.22	$744.82	$1,218.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $574.29 / $615.08 / $1,034.68	Professional		$574.29	$615.08	$1,034.68
United Facility/Professional Professional Modifier Low / Median / High Price $248.30 / $289.18 / $681.96	Professional		$248.30	$289.18	$681.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $568.05 / $568.05 / $568.05	Facility		$568.05	$568.05	$568.05
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $448.77 / $568.05 / $568.05	Professional		$448.77	$568.05	$568.05