Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.74 / $216.74 / $244.91	Facility		$216.74	$216.74	$244.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.88 / $187.35 / $298.92	Professional		$141.88	$187.35	$298.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $343.13	Facility		$184.69	$194.92	$343.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.92 / $361.50 / $451.88	Professional		$194.92	$361.50	$451.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $281.72 / $337.28 / $371.05	Professional		$281.72	$337.28	$371.05
Medica Facility/Professional Facility Modifier Low / Median / High Price $195.96 / $391.19 / $1,620.96	Facility		$195.96	$391.19	$1,620.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $175.82 / $426.20	Professional		$149.13	$175.82	$426.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $342.13 / $343.13 / $473.89	Facility		$342.13	$343.13	$473.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $286.95 / $405.52 / $655.73	Professional		$286.95	$405.52	$655.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $311.94 / $334.09 / $567.95	Professional		$311.94	$334.09	$567.95
United Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $155.88 / $405.52	Professional		$149.13	$155.88	$405.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $296.33 / $296.33 / $296.33	Facility		$296.33	$296.33	$296.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $234.11 / $296.33 / $296.33	Professional		$234.11	$296.33	$296.33