Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $906.89 / $1,268.53	Facility		$466.17	$906.89	$1,268.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $405.57 / $405.57 / $452.18	Professional		$405.57	$405.57	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $846.68 / $1,058.34	Professional		$559.40	$846.68	$1,058.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $396.24 / $629.33 / $2,382.66	Professional		$396.24	$629.33	$2,382.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $466.17 / $601.55 / $1,193.40	Facility		$466.17	$601.55	$1,193.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $466.17 / $1,833.95	Professional		$279.70	$466.17	$1,833.95
Midlands Facility/Professional Facility Modifier Low / Median / High Price $559.40 / $887.47 / $1,315.88	Facility		$559.40	$887.47	$1,315.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $559.40 / $904.84 / $1,188.73	Professional		$559.40	$904.84	$1,188.73
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $453.58 / $466.17 / $832.11	Professional		$453.58	$466.17	$832.11
United Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $279.70 / $1,178.94	Professional		$279.70	$279.70	$1,178.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $466.17 / $466.17 / $466.17	Professional		$466.17	$466.17	$466.17