Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $433.48 / $782.28 / $1,708.78	Facility		$433.48	$782.28	$1,708.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.39 / $349.84 / $390.06	Professional		$265.39	$349.84	$390.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $482.94 / $730.48 / $913.10	Professional		$482.94	$730.48	$913.10
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $603.17 / $867.71	Professional		$402.12	$603.17	$867.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $402.12 / $522.76 / $1,127.71	Facility		$402.12	$522.76	$1,127.71
Medica Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $414.18 / $2,010.60	Professional		$241.27	$414.18	$2,010.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $482.54 / $819.26 / $1,127.71	Facility		$482.54	$819.26	$1,127.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $482.94 / $819.26 / $1,152.06	Professional		$482.94	$819.26	$1,152.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $717.78	Professional		$402.12	$402.12	$717.78
United Facility/Professional Professional Modifier Low / Median / High Price $241.27 / $241.27 / $974.02	Professional		$241.27	$241.27	$974.02
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $402.12 / $402.12 / $402.12	Professional		$402.12	$402.12	$402.12