Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $937.96 / $1,312.00	Facility		$482.14	$937.96	$1,312.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,303.08 / $1,303.08 / $1,303.08	Professional		$1,303.08	$1,303.08	$1,303.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $876.06 / $1,095.07	Professional		$578.57	$876.06	$1,095.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $409.82 / $650.89 / $2,464.28	Professional		$409.82	$650.89	$2,464.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $482.14 / $622.16 / $1,234.28	Facility		$482.14	$622.16	$1,234.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $139.11 / $1,330.71	Professional		$124.39	$139.11	$1,330.71
Midlands Facility/Professional Facility Modifier Low / Median / High Price $578.57 / $732.07 / $1,056.65	Facility		$578.57	$732.07	$1,056.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $578.57 / $881.72 / $1,258.39	Professional		$578.57	$881.72	$1,258.39
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $482.14 / $860.62	Professional		$482.14	$482.14	$860.62
United Facility/Professional Professional Modifier Low / Median / High Price $124.39 / $124.39 / $451.94	Professional		$124.39	$124.39	$451.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $482.14 / $482.14 / $482.14	Professional		$482.14	$482.14	$482.14