Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.74 / $244.74 / $259.04	Facility		$244.74	$244.74	$259.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.47 / $188.98 / $316.26	Professional		$141.47	$188.98	$316.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $385.51	Facility		$212.98	$212.98	$385.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $408.38 / $510.47	Professional		$212.98	$408.38	$510.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $332.94 / $355.60 / $385.35	Professional		$332.94	$355.60	$385.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $220.16 / $416.06 / $1,640.11	Facility		$220.16	$416.06	$1,640.11
Medica Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $180.67 / $478.84	Professional		$155.57	$180.67	$478.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $384.39 / $385.51 / $477.98	Facility		$384.39	$385.51	$477.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $315.74 / $450.33 / $736.71	Professional		$315.74	$450.33	$736.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $352.24 / $377.25 / $638.08	Professional		$352.24	$377.25	$638.08
United Facility/Professional Professional Modifier Low / Median / High Price $155.57 / $174.85 / $457.91	Professional		$155.57	$174.85	$457.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $332.94 / $332.94 / $332.94	Facility		$332.94	$332.94	$332.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $263.02 / $332.94 / $332.94	Professional		$263.02	$332.94	$332.94