Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.52 / $730.01 / $1,021.11	Facility		$404.52	$730.01	$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 $450.68 / $681.52 / $851.90	Professional		$450.68	$681.52	$851.90
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $321.48 / $487.83 / $656.69	Professional		$321.48	$487.83	$656.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $374.25 / $484.23 / $863.08	Facility		$374.25	$484.23	$863.08
Medica Facility/Professional Professional Modifier Low / Median / High Price $225.15 / $375.25 / $1,473.00	Professional		$225.15	$375.25	$1,473.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $450.30 / $688.06 / $833.91	Facility		$450.30	$688.06	$833.91
Midlands Facility/Professional Professional Modifier Low / Median / High Price $450.30 / $688.06 / $956.89	Professional		$450.30	$688.06	$956.89
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 $225.15 / $225.15 / $949.01	Professional		$225.15	$225.15	$949.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $375.25 / $375.25 / $375.25	Professional		$375.25	$375.25	$375.25