Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,148.15 / $1,659.59	Facility		$457.09	$1,148.15	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $602.56	Professional		$416.87	$478.63	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,445.44	Professional		$1,148.15	$1,148.15	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $776.25 / $1,071.52	Professional		$151.36	$776.25	$1,071.52
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,380.38	Facility		$602.56	$724.44	$1,380.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $2,344.23	Professional		$354.81	$616.60	$2,344.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $645.65 / $1,288.25	Professional		$575.44	$645.65	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,380.38	Facility		$602.56	$602.56	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $354.81 / $1,513.56	Professional		$354.81	$354.81	$1,513.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56