Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $1,531.34 / $2,141.98	Facility		$787.15	$1,531.34	$2,141.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $684.82 / $684.82 / $763.54	Professional		$684.82	$684.82	$763.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $945.36 / $1,429.63 / $1,787.04	Professional		$945.36	$1,429.63	$1,787.04
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $669.08 / $1,062.65 / $1,424.74	Professional		$669.08	$1,062.65	$1,424.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $787.15 / $1,015.76 / $2,015.10	Facility		$787.15	$1,015.76	$2,015.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $472.29 / $488.03 / $2,540.21	Professional		$472.29	$488.03	$2,540.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $944.58 / $1,102.01 / $1,621.53	Facility		$944.58	$1,102.01	$1,621.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $944.58 / $1,196.47 / $1,621.53	Professional		$944.58	$1,196.47	$1,621.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $1,405.06	Professional		$787.15	$787.15	$1,405.06
United Facility/Professional Professional Modifier Low / Median / High Price $472.29 / $472.29 / $1,611.69	Professional		$472.29	$472.29	$1,611.69
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $787.15 / $787.15 / $787.15	Professional		$787.15	$787.15	$787.15