Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $1,163.18 / $1,627.02	Facility		$597.91	$1,163.18	$1,627.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.62 / $460.39 / $579.97	Professional		$394.62	$460.39	$579.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,085.60 / $1,357.01	Professional		$717.49	$1,085.60	$1,357.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $807.18 / $1,082.22	Professional		$508.22	$807.18	$1,082.22
Medica Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $771.56 / $1,375.19	Facility		$597.91	$771.56	$1,375.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $597.91 / $2,347.01	Professional		$358.75	$597.91	$2,347.01
Midlands Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $949.34 / $1,231.69	Facility		$717.49	$949.34	$1,231.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,138.26 / $1,524.67	Professional		$717.49	$1,138.26	$1,524.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $581.77 / $597.91 / $1,067.27	Professional		$581.77	$597.91	$1,067.27
United Facility/Professional Facility Modifier Low / Median / High Price $597.91 / $597.91 / $1,375.19	Facility		$597.91	$597.91	$1,375.19
United Facility/Professional Professional Modifier Low / Median / High Price $358.75 / $358.75 / $1,303.44	Professional		$358.75	$358.75	$1,303.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $597.91	Professional		$597.91	$597.91	$597.91