Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $1,137.85 / $1,591.61	Facility		$584.90	$1,137.85	$1,591.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $386.03 / $450.37 / $567.35	Professional		$386.03	$450.37	$567.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.47 / $1,062.10 / $1,327.63	Professional		$702.47	$1,062.10	$1,327.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $754.78 / $1,497.34	Facility		$584.90	$754.78	$1,497.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $362.64 / $1,887.53	Professional		$350.94	$362.64	$1,887.53
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $818.86 / $1,204.89	Facility		$701.88	$818.86	$1,204.89
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $889.05 / $1,204.89	Professional		$701.88	$889.05	$1,204.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,044.05	Professional		$584.90	$584.90	$1,044.05
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $350.94 / $1,275.08	Professional		$350.94	$350.94	$1,275.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90