Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $1,315.80 / $1,840.51	Facility		$676.37	$1,315.80	$1,840.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,828.01 / $1,828.01 / $1,828.01	Professional		$1,828.01	$1,828.01	$1,828.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.64 / $1,228.57 / $1,535.71	Professional		$811.64	$1,228.57	$1,535.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $574.91 / $913.10 / $3,456.99	Professional		$574.91	$913.10	$3,456.99
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $872.81 / $1,731.51	Facility		$676.37	$872.81	$1,731.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $453.84 / $2,541.30	Professional		$405.82	$453.84	$2,541.30
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.64 / $1,026.98 / $1,482.32	Facility		$811.64	$1,026.98	$1,482.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.64 / $1,236.91 / $1,765.33	Professional		$811.64	$1,236.91	$1,765.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $1,207.32	Professional		$676.37	$676.37	$1,207.32
United Facility/Professional Professional Modifier Low / Median / High Price $405.82 / $405.82 / $1,384.87	Professional		$405.82	$405.82	$1,384.87
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.37 / $676.37 / $676.37	Professional		$676.37	$676.37	$676.37