Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $1,444.02 / $2,019.86	Facility		$742.27	$1,444.02	$2,019.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.90 / $645.77 / $720.00	Professional		$489.90	$645.77	$720.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $890.72 / $1,348.68 / $1,685.86	Professional		$890.72	$1,348.68	$1,685.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.92 / $1,002.06 / $3,793.81	Professional		$630.92	$1,002.06	$3,793.81
Medica Facility/Professional Facility Modifier Low / Median / High Price $742.27 / $957.85 / $1,900.21	Facility		$742.27	$957.85	$1,900.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $498.06 / $2,788.90	Professional		$445.36	$498.06	$2,788.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $890.72 / $1,039.18 / $1,799.10	Facility		$890.72	$1,039.18	$1,799.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $890.72 / $1,357.42 / $1,937.32	Professional		$890.72	$1,357.42	$1,937.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $722.23 / $742.27 / $1,324.95	Professional		$722.23	$742.27	$1,324.95
United Facility/Professional Professional Modifier Low / Median / High Price $445.36 / $445.36 / $1,519.80	Professional		$445.36	$445.36	$1,519.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $742.27 / $742.27 / $742.27	Professional		$742.27	$742.27	$742.27