Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $435.06 / $785.14 / $1,113.91	Facility		$435.06	$785.14	$1,113.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $266.37 / $351.12 / $391.48	Professional		$266.37	$351.12	$391.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.31 / $733.09 / $916.37	Professional		$484.31	$733.09	$916.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $624.17 / $730.50	Professional		$403.59	$624.17	$730.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $383.41 / $484.71 / $928.26	Facility		$383.41	$484.71	$928.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $403.59 / $1,169.58	Professional		$180.82	$403.59	$1,169.58
Midlands Facility/Professional Facility Modifier Low / Median / High Price $484.31 / $565.03 / $884.50	Facility		$484.31	$565.03	$884.50
Midlands Facility/Professional Professional Modifier Low / Median / High Price $484.31 / $597.79 / $884.50	Professional		$484.31	$597.79	$884.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $720.41	Professional		$403.59	$403.59	$720.41
United Facility/Professional Professional Modifier Low / Median / High Price $180.82 / $242.15 / $870.93	Professional		$180.82	$242.15	$870.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $403.59 / $403.59	Professional		$403.59	$403.59	$403.59