Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $548.55 / $989.96 / $1,384.73	Facility		$548.55	$989.96	$1,384.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.83 / $442.72 / $493.60	Professional		$391.83	$442.72	$493.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $611.15 / $924.36 / $1,155.46	Professional		$611.15	$924.36	$1,155.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $559.76 / $698.22 / $890.52	Professional		$559.76	$698.22	$890.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.46 / $637.62 / $1,170.40	Facility		$501.46	$637.62	$1,170.40
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $508.87 / $1,953.30	Professional		$305.32	$508.87	$1,953.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $610.64 / $933.07 / $1,115.23	Facility		$610.64	$933.07	$1,115.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $610.64 / $933.07 / $1,152.97	Professional		$610.64	$933.07	$1,152.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $508.87 / $908.33	Professional		$508.87	$508.87	$908.33
United Facility/Professional Professional Modifier Low / Median / High Price $305.32 / $305.32 / $1,041.91	Professional		$305.32	$305.32	$1,041.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $508.87 / $508.87	Professional		$508.87	$508.87	$508.87