Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,288.25 / $1,862.09	Facility		$524.81	$1,288.25	$1,862.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $537.03 / $676.08	Professional		$467.74	$537.03	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,621.81	Professional		$1,288.25	$1,288.25	$1,621.81
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $870.96 / $1,230.27	Professional		$151.36	$870.96	$1,230.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $812.83 / $1,548.82	Facility		$676.08	$812.83	$1,548.82
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $676.08 / $2,691.53	Professional		$407.38	$676.08	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $724.44 / $1,445.44	Professional		$676.08	$724.44	$1,445.44
United Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $676.08 / $1,548.82	Facility		$676.08	$676.08	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $1,698.24	Professional		$407.38	$407.38	$1,698.24
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08