Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.99 / $386.10 / $386.10	Facility		$327.99	$386.10	$386.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $281.00 / $419.46	Professional		$192.87	$281.00	$419.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $484.70	Facility		$293.31	$293.31	$484.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.70 / $644.25 / $805.31	Professional		$484.70	$644.25	$805.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $417.05 / $484.02 / $555.67	Professional		$417.05	$484.02	$555.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $276.81 / $566.20 / $2,269.46	Facility		$276.81	$566.20	$2,269.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $245.52 / $602.04	Professional		$210.66	$245.52	$602.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $483.29 / $484.70 / $661.76	Facility		$483.29	$484.70	$661.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $397.00 / $572.83 / $926.27	Professional		$397.00	$572.83	$926.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $449.45 / $566.79 / $991.89	Professional		$449.45	$566.79	$991.89
United Facility/Professional Facility Modifier Low / Median / High Price $696.97 / $696.97 / $1,132.58	Facility		$696.97	$696.97	$1,132.58
United Facility/Professional Professional Modifier Low / Median / High Price $210.66 / $219.83 / $518.54	Professional		$210.66	$219.83	$518.54
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $418.61 / $418.61 / $418.61	Facility		$418.61	$418.61	$418.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $330.70 / $418.61 / $418.61	Professional		$330.70	$418.61	$418.61