Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $707.95 / $1,023.29	Facility		$288.40	$707.95	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $371.54	Professional		$263.03	$302.00	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $398.11 / $489.78	Professional		$389.05	$398.11	$489.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $489.78 / $676.08	Professional		$151.36	$489.78	$676.08
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $478.63 / $1,047.13	Facility		$354.81	$478.63	$1,047.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $1,513.56	Professional		$223.87	$371.54	$1,513.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $794.33	Professional		$363.08	$407.38	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $954.99	Professional		$223.87	$223.87	$954.99
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54