Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $382.41 / $422.36 / $422.36	Facility		$382.41	$422.36	$422.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.80 / $315.69 / $510.48	Professional		$236.80	$315.69	$510.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $578.17	Facility		$328.44	$328.44	$578.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.44 / $704.63 / $880.78	Professional		$328.44	$704.63	$880.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $499.34 / $571.54 / $607.86	Professional		$499.34	$571.54	$607.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $330.20 / $675.41 / $2,802.95	Facility		$330.20	$675.41	$2,802.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $296.25 / $718.14	Professional		$251.28	$296.25	$718.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $578.17 / $586.32 / $798.50	Facility		$578.17	$586.32	$798.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $473.53 / $683.31 / $1,104.86	Professional		$473.53	$683.31	$1,104.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $536.14 / $620.02 / $1,085.03	Professional		$536.14	$620.02	$1,085.03
United Facility/Professional Professional Modifier Low / Median / High Price $251.28 / $262.22 / $618.39	Professional		$251.28	$262.22	$618.39
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $515.11 / $515.11 / $515.11	Facility		$515.11	$515.11	$515.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $406.94 / $515.11 / $515.11	Professional		$406.94	$515.11	$515.11