Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.83 / $864.21 / $1,207.85	Facility		$411.83	$864.21	$1,207.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $372.12 / $916.00	Professional		$173.78	$372.12	$916.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.91 / $576.71 / $593.50	Facility		$559.91	$576.71	$593.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $379.10 / $439.82 / $549.78	Professional		$379.10	$439.82	$549.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $178.54 / $287.18 / $922.99	Professional		$178.54	$287.18	$922.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $248.73 / $427.53 / $510.42	Facility		$248.73	$427.53	$510.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $295.57 / $848.87	Professional		$203.52	$295.57	$848.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $327.00 / $427.53 / $657.76	Facility		$327.00	$427.53	$657.76
Midlands Facility/Professional Professional Modifier Low / Median / High Price $295.57 / $405.64 / $510.42	Professional		$295.57	$405.64	$510.42
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $207.80 / $355.57	Professional		$183.86	$207.80	$355.57
United Facility/Professional Professional Modifier Low / Median / High Price $203.52 / $240.93 / $363.22	Professional		$203.52	$240.93	$363.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $282.82 / $358.00 / $421.20	Professional		$282.82	$358.00	$421.20