Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $469.00 / $846.38 / $1,183.89	Facility		$469.00	$846.38	$1,183.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.14 / $378.51 / $422.02	Professional		$287.14	$378.51	$422.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.51 / $790.54 / $988.18	Professional		$522.51	$790.54	$988.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $364.32 / $565.59 / $761.37	Professional		$364.32	$565.59	$761.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $561.41 / $1,007.18	Facility		$435.07	$561.41	$1,007.18
Medica Facility/Professional Professional Modifier Low / Median / High Price $261.04 / $435.07 / $1,707.79	Professional		$261.04	$435.07	$1,707.79
Midlands Facility/Professional Facility Modifier Low / Median / High Price $522.08 / $797.74 / $966.87	Facility		$522.08	$797.74	$966.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.08 / $797.74 / $1,109.43	Professional		$522.08	$797.74	$1,109.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $776.60	Professional		$435.07	$435.07	$776.60
United Facility/Professional Facility Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Facility		$435.07	$435.07	$435.07
United Facility/Professional Professional Modifier Low / Median / High Price $261.04 / $261.04 / $890.81	Professional		$261.04	$261.04	$890.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $435.07 / $435.07 / $435.07	Professional		$435.07	$435.07	$435.07