Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.91 / $970.76 / $1,357.87	Facility		$537.91	$970.76	$1,357.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.34 / $434.13 / $484.03	Professional		$329.34	$434.13	$484.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $599.29 / $906.74 / $1,133.42	Professional		$599.29	$906.74	$1,133.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $548.90 / $873.25 / $1,318.71	Professional		$548.90	$873.25	$1,318.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $499.00 / $643.91 / $1,332.33	Facility		$499.00	$643.91	$1,332.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $499.00 / $1,958.75	Professional		$299.39	$499.00	$1,958.75
Midlands Facility/Professional Facility Modifier Low / Median / High Price $598.79 / $914.96 / $1,108.92	Facility		$598.79	$914.96	$1,108.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $598.79 / $914.96 / $1,272.45	Professional		$598.79	$914.96	$1,272.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $890.72	Professional		$499.00	$499.00	$890.72
United Facility/Professional Facility Modifier Low / Median / High Price $748.50 / $748.50 / $748.50	Facility		$748.50	$748.50	$748.50
United Facility/Professional Professional Modifier Low / Median / High Price $299.39 / $299.39 / $513.97	Professional		$299.39	$299.39	$513.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $499.00 / $499.00 / $499.00	Professional		$499.00	$499.00	$499.00