Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $831.76 / $1,174.90	Facility		$281.84	$831.76	$1,174.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $371.54 / $891.25	Professional		$173.78	$371.54	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $575.44 / $588.84	Facility		$562.34	$575.44	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $446.68 / $562.34	Professional		$426.58	$446.68	$562.34
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $288.40 / $977.24	Professional		$177.83	$288.40	$977.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $512.86	Facility		$281.84	$416.87	$512.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $676.08	Professional		$204.17	$323.59	$676.08
Midlands Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $426.58 / $602.56	Professional		$380.19	$426.58	$602.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Facility		$588.84	$588.84	$588.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $512.86	Professional		$457.09	$457.09	$512.86
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $213.80 / $426.58	Professional		$194.98	$213.80	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $416.87	Professional		$204.17	$234.42	$416.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $416.87	Professional		$281.84	$354.81	$416.87