Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.43 / $792.61 / $1,108.69	Facility		$407.43	$792.61	$1,108.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,101.16 / $1,101.16 / $1,101.16	Professional		$1,101.16	$1,101.16	$1,101.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $740.28 / $925.34	Professional		$488.92	$740.28	$925.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $346.32 / $550.03 / $2,082.41	Professional		$346.32	$550.03	$2,082.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $387.06 / $489.32 / $937.09	Facility		$387.06	$489.32	$937.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $165.51 / $892.92	Professional		$99.31	$165.51	$892.92
Midlands Facility/Professional Facility Modifier Low / Median / High Price $324.49 / $489.32 / $839.31	Facility		$324.49	$489.32	$839.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $279.70 / $488.92 / $839.31	Professional		$279.70	$488.92	$839.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $727.26	Professional		$407.43	$407.43	$727.26
United Facility/Professional Professional Modifier Low / Median / High Price $99.31 / $99.31 / $360.81	Professional		$99.31	$99.31	$360.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Professional		$407.43	$407.43	$407.43