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 $208.93 / $457.09 / $575.44	Professional		$208.93	$457.09	$575.44
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 / $1,096.48	Professional		$151.36	$776.25	$1,096.48
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 $181.97 / $562.34 / $2,238.72	Professional		$181.97	$562.34	$2,238.72
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 $602.56 / $645.65 / $1,288.25	Professional		$602.56	$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 $181.97 / $181.97 / $758.58	Professional		$181.97	$181.97	$758.58
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56