Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.49 / $793.89 / $1,206.70	Facility		$646.49	$793.89	$1,206.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $635.11 / $793.89 / $2,522.40	Professional		$635.11	$793.89	$2,522.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.00 / $288.75 / $496.51	Professional		$231.00	$288.75	$496.51
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $796.60 / $813.40	Professional		$150.00	$796.60	$813.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $543.50 / $793.89 / $1,073.33	Facility		$543.50	$793.89	$1,073.33
Medica Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $906.35	Professional		$661.57	$661.57	$906.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $564.22 / $564.22 / $564.22	Facility		$564.22	$564.22	$564.22
Midlands Facility/Professional Professional Modifier Low / Median / High Price $564.22 / $564.22 / $564.22	Professional		$564.22	$564.22	$564.22
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,200.93 / $1,276.58 / $1,354.24	Professional		$1,200.93	$1,276.58	$1,354.24
United Facility/Professional Professional Modifier Low / Median / High Price $661.57 / $661.57 / $727.73	Professional		$661.57	$661.57	$727.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.14 / $469.80 / $469.80	Professional		$371.14	$469.80	$469.80