Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,479.11 / $2,187.76	Facility		$602.56	$1,479.11	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $616.60 / $758.58	Professional		$549.54	$616.60	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,513.56 / $1,905.46	Professional		$1,023.29	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,023.29 / $1,412.54	Professional		$151.36	$1,023.29	$1,412.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $954.99 / $1,819.70	Facility		$794.33	$954.99	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $794.33 / $3,162.28	Professional		$467.74	$794.33	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $1,023.29	Professional		$954.99	$954.99	$1,023.29
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,659.59	Professional		$794.33	$851.14	$1,659.59
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,819.70	Facility		$794.33	$794.33	$1,819.70
United Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $1,995.26	Professional		$467.74	$467.74	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33