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 $407.43 / $488.92 / $937.09	Facility		$407.43	$488.92	$937.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $246.52 / $989.58	Professional		$147.91	$246.52	$989.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $469.31 / $500.49 / $839.31	Facility		$469.31	$500.49	$839.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $416.62 / $489.32 / $892.92	Professional		$416.62	$489.32	$892.92
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 $147.91 / $147.91 / $537.41	Professional		$147.91	$147.91	$537.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Professional		$407.43	$407.43	$407.43