Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.00 / $785.24 / $1,197.32	Facility		$440.00	$785.24	$1,197.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.80 / $382.80 / $709.00	Professional		$338.80	$382.80	$709.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $799.03 / $998.78	Professional		$528.00	$799.03	$998.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $564.58 / $770.00	Professional		$440.00	$564.58	$770.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $255.38 / $528.00 / $1,012.00	Facility		$255.38	$528.00	$1,012.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $106.02 / $311.98 / $1,148.40	Professional		$106.02	$311.98	$1,148.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $287.83 / $574.38 / $964.29	Facility		$287.83	$574.38	$964.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $288.77 / $572.00 / $906.40	Professional		$288.77	$572.00	$906.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $785.40	Professional		$440.00	$440.00	$785.40
United Facility/Professional Professional Modifier Low / Median / High Price $112.47 / $264.00 / $570.23	Professional		$112.47	$264.00	$570.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $440.00	Professional		$440.00	$440.00	$440.00