Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $993.32 / $1,514.60	Facility		$556.60	$993.32	$1,514.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.58 / $484.24 / $1,356.00	Professional		$428.58	$484.24	$1,356.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $668.47 / $1,011.19 / $1,263.98	Professional		$668.47	$1,011.19	$1,263.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.26 / $974.05 / $1,028.11	Professional		$612.26	$974.05	$1,028.11
Medica Facility/Professional Facility Modifier Low / Median / High Price $556.60 / $718.26 / $1,280.18	Facility		$556.60	$718.26	$1,280.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $556.60 / $2,184.85	Professional		$333.96	$556.60	$2,184.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $667.92 / $1,020.57 / $1,236.92	Facility		$667.92	$1,020.57	$1,236.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $667.92 / $1,020.57 / $1,419.33	Professional		$667.92	$1,020.57	$1,419.33
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $698.58 / $698.58 / $698.58	Facility		$698.58	$698.58	$698.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $993.53	Professional		$556.60	$556.60	$993.53
United Facility/Professional Professional Modifier Low / Median / High Price $333.96 / $333.96 / $1,029.71	Professional		$333.96	$333.96	$1,029.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $556.60 / $556.60 / $556.60	Professional		$556.60	$556.60	$556.60