Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $676.08 / $977.24	Facility		$275.42	$676.08	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $275.42 / $346.74	Professional		$234.42	$275.42	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $851.14	Professional		$676.08	$676.08	$851.14
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $467.74 / $645.65	Professional		$151.36	$467.74	$645.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $426.58 / $812.83	Facility		$354.81	$426.58	$812.83
Medica Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,445.44	Professional		$213.80	$354.81	$1,445.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Professional		$426.58	$426.58	$426.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $389.05 / $758.58	Professional		$354.81	$389.05	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $812.83	Facility		$354.81	$354.81	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $891.25	Professional		$213.80	$213.80	$891.25
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Professional		$354.81	$354.81	$354.81