Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.54 / $500.85 / $1,094.00	Facility		$277.54	$500.85	$1,094.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.92 / $223.98 / $249.73	Professional		$169.92	$223.98	$249.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $467.40 / $584.26	Professional		$309.20	$467.40	$584.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $450.54 / $863.92	Professional		$257.45	$450.54	$863.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $345.24 / $721.98	Facility		$257.45	$345.24	$721.98
Medica Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $265.17 / $1,319.21	Professional		$154.47	$265.17	$1,319.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $308.94 / $524.50 / $737.25	Facility		$308.94	$524.50	$737.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $309.20 / $524.50 / $737.56	Professional		$309.20	$524.50	$737.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $250.50 / $257.45 / $459.55	Professional		$250.50	$257.45	$459.55
United Facility/Professional Professional Modifier Low / Median / High Price $154.47 / $154.47 / $623.59	Professional		$154.47	$154.47	$623.59
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $257.45 / $257.45	Professional		$257.45	$257.45	$257.45