Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $862.42 / $1,206.33	Facility		$443.31	$862.42	$1,206.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.58 / $341.35 / $430.01	Professional		$292.58	$341.35	$430.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $531.97 / $531.97 / $531.97	Facility		$531.97	$531.97	$531.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $572.98 / $804.90 / $1,006.13	Professional		$572.98	$804.90	$1,006.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $376.81 / $598.47 / $802.39	Professional		$376.81	$598.47	$802.39
Medica Facility/Professional Facility Modifier Low / Median / High Price $443.31 / $531.97 / $1,134.86	Facility		$443.31	$531.97	$1,134.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $265.99 / $1,779.54	Professional		$265.99	$265.99	$1,779.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $531.97 / $576.29 / $1,037.34	Facility		$531.97	$576.29	$1,037.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $531.97 / $576.29 / $1,037.34	Professional		$531.97	$576.29	$1,037.34
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $443.31 / $791.31	Professional		$443.31	$443.31	$791.31
United Facility/Professional Professional Modifier Low / Median / High Price $265.99 / $265.99 / $966.42	Professional		$265.99	$265.99	$966.42
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $443.31 / $443.31 / $443.31	Professional		$443.31	$443.31	$443.31