Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $1,183.13 / $1,654.94	Facility		$608.16	$1,183.13	$1,654.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $401.39 / $529.11 / $589.91	Professional		$401.39	$529.11	$589.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $1,104.54 / $1,380.67	Professional		$729.80	$1,104.54	$1,380.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $516.94 / $821.03 / $1,100.79	Professional		$516.94	$821.03	$1,100.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $790.62 / $1,556.92	Facility		$608.16	$790.62	$1,556.92
Medica Facility/Professional Professional Modifier Low / Median / High Price $364.90 / $387.10 / $2,375.67	Professional		$364.90	$387.10	$2,375.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $729.80 / $1,064.30 / $1,423.12	Facility		$729.80	$1,064.30	$1,423.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $729.80 / $1,064.30 / $1,423.12	Professional		$729.80	$1,064.30	$1,423.12
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $1,085.58	Professional		$608.16	$608.16	$1,085.58
United Facility/Professional Professional Modifier Low / Median / High Price $364.90 / $364.90 / $1,125.10	Professional		$364.90	$364.90	$1,125.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $608.16 / $608.16 / $608.16	Professional		$608.16	$608.16	$608.16