Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.70 / $681.20 / $1,038.68	Facility		$381.70	$681.20	$1,038.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.92 / $332.08 / $370.25	Professional		$251.92	$332.08	$370.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $458.04 / $693.27 / $866.59	Professional		$458.04	$693.27	$866.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $572.54 / $716.14	Professional		$381.70	$572.54	$716.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $219.50 / $458.04 / $877.91	Facility		$219.50	$458.04	$877.91
Medica Facility/Professional Professional Modifier Low / Median / High Price $91.03 / $267.85 / $996.24	Professional		$91.03	$267.85	$996.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $247.11 / $498.28 / $836.54	Facility		$247.11	$498.28	$836.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $247.93 / $496.21 / $786.30	Professional		$247.93	$496.21	$786.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $681.33	Professional		$381.70	$381.70	$681.33
United Facility/Professional Professional Modifier Low / Median / High Price $96.56 / $229.02 / $587.36	Professional		$96.56	$229.02	$587.36
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $381.70 / $381.70	Professional		$381.70	$381.70	$381.70