Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $226.91 / $1,096.22 / $3,225.83	Facility		$226.91	$1,096.22	$3,225.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $152.68 / $541.29	Professional		$151.16	$152.68	$541.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.33 / $190.00 / $407.76	Professional		$161.33	$190.00	$407.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $161.10 / $275.39	Professional		$150.00	$161.10	$275.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $231.51 / $419.24	Facility		$150.33	$231.51	$419.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $150.33 / $150.33 / $628.91	Professional		$150.33	$150.33	$628.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $180.50 / $190.00 / $237.50	Facility		$180.50	$190.00	$237.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $192.70 / $416.53	Professional		$182.30	$192.70	$416.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $285.50 / $285.50 / $347.20	Professional		$285.50	$285.50	$347.20
United Facility/Professional Professional Modifier Low / Median / High Price $151.16 / $151.16 / $191.99	Professional		$151.16	$151.16	$191.99
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Facility		$150.33	$150.33	$150.33
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $118.76 / $150.33 / $150.33	Professional		$118.76	$150.33	$150.33