Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $946.53 / $1,323.98	Facility		$486.54	$946.53	$1,323.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.29 / $423.29 / $471.94	Professional		$423.29	$423.29	$471.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.33 / $883.89 / $1,104.85	Professional		$584.33	$883.89	$1,104.85
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $413.56 / $656.83 / $2,486.75	Professional		$413.56	$656.83	$2,486.75
Medica Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $627.84 / $1,245.54	Facility		$486.54	$627.84	$1,245.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $291.92 / $301.64 / $1,570.11	Professional		$291.92	$301.64	$1,570.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $583.85 / $739.54 / $1,002.27	Facility		$583.85	$739.54	$1,002.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $583.85 / $739.54 / $1,002.27	Professional		$583.85	$739.54	$1,002.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $486.54 / $868.47	Professional		$473.40	$486.54	$868.47
United Facility/Professional Facility Modifier Low / Median / High Price $486.54 / $486.54 / $1,119.04	Facility		$486.54	$486.54	$1,119.04
United Facility/Professional Professional Modifier Low / Median / High Price $291.92 / $291.92 / $1,060.66	Professional		$291.92	$291.92	$1,060.66
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $486.54 / $486.54 / $486.54	Professional		$486.54	$486.54	$486.54