Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $180.82 / $271.41 / $447.50	Facility		$180.82	$271.41	$447.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.80 / $219.26 / $332.11	Professional		$163.80	$219.26	$332.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $233.36 / $233.36 / $412.43	Facility		$233.36	$233.36	$412.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.36 / $453.00 / $566.25	Professional		$233.36	$453.00	$566.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $368.23 / $390.62 / $599.35	Professional		$368.23	$390.62	$599.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.53 / $481.77 / $1,920.30	Facility		$235.53	$481.77	$1,920.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $198.96 / $512.28	Professional		$179.24	$198.96	$512.28
Midlands Facility/Professional Facility Modifier Low / Median / High Price $411.23 / $412.43 / $554.59	Facility		$411.23	$412.43	$554.59
Midlands Facility/Professional Professional Modifier Low / Median / High Price $342.93 / $487.42 / $788.17	Professional		$342.93	$487.42	$788.17
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $382.44 / $409.59 / $697.26	Professional		$382.44	$409.59	$697.26
United Facility/Professional Professional Modifier Low / Median / High Price $179.24 / $187.06 / $512.28	Professional		$179.24	$187.06	$512.28
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $356.19 / $356.19 / $356.19	Facility		$356.19	$356.19	$356.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.39 / $356.19 / $356.19	Professional		$281.39	$356.19	$356.19