Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,412.54 / $2,089.30	Facility		$575.44	$1,412.54	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $724.44	Professional		$524.81	$602.56	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,778.28	Professional		$1,445.44	$1,445.44	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $977.24 / $1,348.96	Professional		$151.36	$977.24	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,737.80	Facility		$741.31	$891.25	$1,737.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $3,019.95	Professional		$446.68	$741.31	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $812.83 / $1,584.89	Professional		$741.31	$812.83	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,737.80	Facility		$741.31	$741.31	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,905.46	Professional		$446.68	$446.68	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31