Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $1,476.66 / $2,065.52	Facility		$759.05	$1,476.66	$2,065.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.97 / $584.47 / $736.28	Professional		$500.97	$584.47	$736.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,378.71 / $1,723.39	Professional		$910.86	$1,378.71	$1,723.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.19 / $1,024.72 / $3,879.58	Professional		$645.19	$1,024.72	$3,879.58
Medica Facility/Professional Facility Modifier Low / Median / High Price $759.05 / $979.50 / $1,943.17	Facility		$759.05	$979.50	$1,943.17
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $759.05 / $2,986.15	Professional		$455.43	$759.05	$2,986.15
Midlands Facility/Professional Facility Modifier Low / Median / High Price $910.86 / $1,445.03 / $2,142.58	Facility		$910.86	$1,445.03	$2,142.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.86 / $1,473.32 / $1,935.58	Professional		$910.86	$1,473.32	$1,935.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $1,354.90	Professional		$759.05	$759.05	$1,354.90
United Facility/Professional Professional Modifier Low / Median / High Price $455.43 / $455.43 / $1,554.15	Professional		$455.43	$455.43	$1,554.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $759.05 / $759.05 / $759.05	Professional		$759.05	$759.05	$759.05