Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.43 / $669.68 / $1,021.11	Facility		$290.43	$669.68	$1,021.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.67 / $326.47 / $363.99	Professional		$247.67	$326.47	$363.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $681.52 / $851.90	Professional		$450.30	$681.52	$851.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $466.06 / $656.69	Professional		$375.25	$466.06	$656.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $135.28 / $450.30 / $863.08	Facility		$135.28	$450.30	$863.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $55.94 / $225.15 / $979.40	Professional		$55.94	$225.15	$979.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $151.88 / $487.83 / $822.39	Facility		$151.88	$487.83	$822.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $487.83 / $773.02	Professional		$152.38	$487.83	$773.02
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $669.82	Professional		$375.25	$375.25	$669.82
United Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $225.15 / $386.51	Professional		$59.35	$225.15	$386.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Professional		$375.25	$375.25	$375.25