Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,000.00 / $1,445.44	Facility		$407.38	$1,000.00	$1,445.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $426.58 / $524.81	Professional		$371.54	$426.58	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,023.29 / $1,258.93	Professional		$676.08	$1,023.29	$1,258.93
Medica Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $630.96 / $1,202.26	Facility		$524.81	$630.96	$1,202.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $524.81 / $2,137.96	Professional		$316.23	$524.81	$2,137.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $676.08	Professional		$630.96	$630.96	$676.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $575.44 / $1,122.02	Professional		$524.81	$575.44	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $524.81 / $1,202.26	Facility		$524.81	$524.81	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $1,348.96	Professional		$316.23	$316.23	$1,348.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81