Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $384.00 / $747.04 / $1,044.93	Facility		$384.00	$747.04	$1,044.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,037.83 / $1,037.83 / $1,037.83	Professional		$1,037.83	$1,037.83	$1,037.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $460.80 / $697.19 / $871.49	Professional		$460.80	$697.19	$871.49
Medica Facility/Professional Facility Modifier Low / Median / High Price $295.68 / $460.80 / $983.04	Facility		$295.68	$460.80	$983.04
Medica Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $119.04 / $770.73	Professional		$115.20	$119.04	$770.73
Midlands Facility/Professional Facility Modifier Low / Median / High Price $420.78 / $537.60 / $755.71	Facility		$420.78	$537.60	$755.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $420.78 / $499.20 / $755.71	Professional		$420.78	$499.20	$755.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $685.44	Professional		$384.00	$384.00	$685.44
United Facility/Professional Professional Modifier Low / Median / High Price $115.20 / $115.20 / $384.00	Professional		$115.20	$115.20	$384.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $384.00 / $384.00 / $384.00	Professional		$384.00	$384.00	$384.00