Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,318.26 / $1,905.46	Facility		$537.03	$1,318.26	$1,905.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $537.03 / $676.08	Professional		$457.09	$537.03	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,659.59	Professional		$1,318.26	$1,318.26	$1,659.59
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $891.25 / $1,258.93	Professional		$151.36	$891.25	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $831.76 / $1,584.89	Facility		$691.83	$831.76	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $691.83 / $2,754.23	Professional		$416.87	$691.83	$2,754.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $741.31 / $1,479.11	Professional		$691.83	$741.31	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $1,584.89	Facility		$691.83	$691.83	$1,584.89
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $1,737.80	Professional		$416.87	$416.87	$1,737.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83