Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.39 / $809.07 / $1,066.96	Facility		$502.39	$809.07	$1,066.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $292.82 / $292.82	Professional		$292.82	$292.82	$292.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.13 / $293.91 / $311.13	Professional		$235.13	$293.91	$311.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $433.67 / $508.50	Professional		$150.00	$433.67	$508.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $312.69 / $329.07 / $485.17	Facility		$312.69	$329.07	$485.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $531.16	Professional		$305.02	$305.02	$531.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $444.38 / $518.44 / $696.19	Facility		$444.38	$518.44	$696.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $329.07 / $329.07 / $329.07	Professional		$329.07	$329.07	$329.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $620.69 / $806.68 / $909.85	Professional		$620.69	$806.68	$909.85
United Facility/Professional Professional Modifier Low / Median / High Price $305.02 / $305.02 / $335.52	Professional		$305.02	$305.02	$335.52
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $299.04 / $299.04 / $299.04	Facility		$299.04	$299.04	$299.04
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $236.24 / $299.04 / $299.04	Professional		$236.24	$299.04	$299.04