Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $504.50 / $910.45 / $1,273.51	Facility		$504.50	$910.45	$1,273.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.88 / $407.16 / $453.96	Professional		$308.88	$407.16	$453.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.05 / $849.95 / $1,062.43	Professional		$562.05	$849.95	$1,062.43
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $819.00 / $2,126.96	Professional		$514.79	$819.00	$2,126.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.07 / $562.05 / $1,249.56	Facility		$467.07	$562.05	$1,249.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $468.00 / $1,841.16	Professional		$280.80	$468.00	$1,841.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $561.60 / $858.12 / $1,359.51	Facility		$561.60	$858.12	$1,359.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $858.12 / $1,333.52	Professional		$561.60	$858.12	$1,333.52
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $835.38	Professional		$468.00	$468.00	$835.38
United Facility/Professional Professional Modifier Low / Median / High Price $280.80 / $280.80 / $1,020.24	Professional		$280.80	$280.80	$1,020.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $468.00	Professional		$468.00	$468.00	$468.00