Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,148.15 / $1,659.59	Facility		$467.74	$1,148.15	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $478.63 / $588.84	Professional		$426.58	$478.63	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $1,445.44	Professional		$1,174.90	$1,174.90	$1,445.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $794.33 / $1,096.48	Professional		$151.36	$794.33	$1,096.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $724.44 / $1,412.54	Facility		$602.56	$724.44	$1,412.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $602.56 / $2,454.71	Professional		$363.08	$602.56	$2,454.71
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Professional		$724.44	$724.44	$724.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $660.69 / $1,288.25	Professional		$602.56	$660.69	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $1,412.54	Facility		$602.56	$602.56	$1,412.54
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,548.82	Professional		$363.08	$363.08	$1,548.82
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56