Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $891.25 / $1,288.25	Facility		$354.81	$891.25	$1,288.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $457.09	Professional		$309.03	$354.81	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $1,122.02	Professional		$891.25	$891.25	$1,122.02
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $602.56 / $851.14	Professional		$151.36	$602.56	$851.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $562.34 / $1,202.26	Facility		$467.74	$562.34	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $1,862.09	Professional		$281.84	$467.74	$1,862.09
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $501.19 / $1,000.00	Professional		$457.09	$501.19	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,071.52	Facility		$467.74	$467.74	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $281.84 / $1,174.90	Professional		$281.84	$281.84	$1,174.90
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $467.74	Professional		$467.74	$467.74	$467.74