Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.00 / $405.00 / $428.74	Facility		$405.00	$405.00	$428.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.13 / $312.74 / $523.42	Professional		$234.13	$312.74	$523.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $325.37 / $325.37 / $638.03	Facility		$325.37	$325.37	$638.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.37 / $675.75 / $844.69	Professional		$325.37	$675.75	$844.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $553.74 / $588.66 / $636.04	Professional		$553.74	$588.66	$636.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $364.38 / $684.83 / $2,714.31	Facility		$364.38	$684.83	$2,714.31
Medica Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $299.02 / $792.50	Professional		$257.45	$299.02	$792.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $636.17 / $638.03 / $791.03	Facility		$636.17	$638.03	$791.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $522.55 / $745.32 / $1,219.29	Professional		$522.55	$745.32	$1,219.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $582.88 / $624.26 / $1,056.06	Professional		$582.88	$624.26	$1,056.06
United Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $289.37 / $682.43	Professional		$257.45	$289.37	$682.43
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $551.03 / $551.03 / $551.03	Facility		$551.03	$551.03	$551.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $435.31 / $551.03 / $551.03	Professional		$435.31	$551.03	$551.03