Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $797.41 / $1,115.40	Facility		$409.90	$797.41	$1,115.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.60 / $397.60 / $397.60	Professional		$397.60	$397.60	$397.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $744.19 / $930.24	Professional		$491.88	$744.19	$930.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $348.42 / $553.37 / $2,095.03	Professional		$348.42	$553.37	$2,095.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $409.90 / $528.95 / $1,049.33	Facility		$409.90	$528.95	$1,049.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $409.90 / $1,791.78	Professional		$245.94	$409.90	$1,791.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $491.88 / $844.39 / $1,285.61	Facility		$491.88	$844.39	$1,285.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $491.88 / $867.06 / $1,045.25	Professional		$491.88	$867.06	$1,045.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $398.83 / $409.90 / $731.67	Professional		$398.83	$409.90	$731.67
United Facility/Professional Professional Modifier Low / Median / High Price $245.94 / $245.94 / $932.53	Professional		$245.94	$245.94	$932.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $409.90 / $409.90 / $409.90	Professional		$409.90	$409.90	$409.90