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 / $525.77 / $1,043.02	Facility		$407.43	$525.77	$1,043.02
Medica Facility/Professional Professional Modifier Low / Median / High Price $244.46 / $273.39 / $1,530.83	Professional		$244.46	$273.39	$1,530.83
Midlands Facility/Professional Facility Modifier Low / Median / High Price $488.92 / $618.61 / $892.92	Facility		$488.92	$618.61	$892.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $488.92 / $745.09 / $1,063.39	Professional		$488.92	$745.09	$1,063.39
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 $244.46 / $244.46 / $834.21	Professional		$244.46	$244.46	$834.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $407.43	Professional		$407.43	$407.43	$407.43