Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $911.08 / $1,274.40	Facility		$468.33	$911.08	$1,274.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,265.74 / $1,265.74 / $1,265.74	Professional		$1,265.74	$1,265.74	$1,265.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $850.60 / $1,063.25	Professional		$562.00	$850.60	$1,063.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $398.08 / $632.25 / $2,393.67	Professional		$398.08	$632.25	$2,393.67
Medica Facility/Professional Facility Modifier Low / Median / High Price $468.33 / $604.35 / $1,198.92	Facility		$468.33	$604.35	$1,198.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $314.25 / $1,759.64	Professional		$281.00	$314.25	$1,759.64
Midlands Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $711.10 / $1,026.39	Facility		$562.00	$711.10	$1,026.39
Midlands Facility/Professional Professional Modifier Low / Median / High Price $562.00 / $856.46 / $1,222.33	Professional		$562.00	$856.46	$1,222.33
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $468.33 / $835.97	Professional		$468.33	$468.33	$835.97
United Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $958.91	Professional		$281.00	$281.00	$958.91
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $468.33 / $468.33 / $468.33	Professional		$468.33	$468.33	$468.33