Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $729.53 / $1,020.44	Facility		$375.00	$729.53	$1,020.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $326.25 / $326.25 / $326.25	Professional		$326.25	$326.25	$326.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.13 / $450.00 / $488.91	Professional		$391.13	$450.00	$488.91
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $318.75 / $506.25 / $678.75	Professional		$318.75	$506.25	$678.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $356.25 / $487.50 / $1,058.53	Facility		$356.25	$487.50	$1,058.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $375.00 / $1,475.29	Professional		$225.00	$375.00	$1,475.29
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $713.90 / $1,058.53	Facility		$450.00	$713.90	$1,058.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.00 / $727.88 / $956.25	Professional		$450.00	$727.88	$956.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $364.88 / $375.00 / $669.38	Professional		$364.88	$375.00	$669.38
United Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $225.00 / $693.75	Professional		$225.00	$225.00	$693.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Professional		$375.00	$375.00	$375.00