Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $690.29 / $1,342.89 / $1,878.39	Facility		$690.29	$1,342.89	$1,878.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,865.64 / $1,865.64 / $1,865.64	Professional		$1,865.64	$1,865.64	$1,865.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $828.35 / $1,254.03 / $1,567.54	Professional		$828.35	$1,254.03	$1,567.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $586.75 / $931.89 / $3,528.15	Professional		$586.75	$931.89	$3,528.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $690.29 / $890.77 / $1,767.14	Facility		$690.29	$890.77	$1,767.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $414.17 / $463.18 / $2,593.61	Professional		$414.17	$463.18	$2,593.61
Midlands Facility/Professional Facility Modifier Low / Median / High Price $828.35 / $1,048.11 / $1,512.83	Facility		$828.35	$1,048.11	$1,512.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $828.35 / $1,262.36 / $1,801.66	Professional		$828.35	$1,262.36	$1,801.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $690.29 / $1,232.17	Professional		$690.29	$690.29	$1,232.17
United Facility/Professional Professional Modifier Low / Median / High Price $414.17 / $414.17 / $1,504.83	Professional		$414.17	$414.17	$1,504.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $690.29 / $690.29 / $690.29	Professional		$690.29	$690.29	$690.29