Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $1,545.61 / $2,161.96	Facility		$794.49	$1,545.61	$2,161.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.36 / $611.76 / $770.66	Professional		$524.36	$611.76	$770.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.39 / $953.39 / $953.39	Facility		$953.39	$953.39	$953.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.83 / $1,442.69 / $1,803.36	Professional		$1,032.83	$1,442.69	$1,803.36
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.32 / $1,072.56 / $1,438.03	Professional		$675.32	$1,072.56	$1,438.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $794.49 / $953.39 / $2,185.19	Facility		$794.49	$953.39	$2,185.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $476.69 / $3,189.24	Professional		$476.69	$476.69	$3,189.24
Midlands Facility/Professional Facility Modifier Low / Median / High Price $953.39 / $1,032.83 / $2,185.19	Facility		$953.39	$1,032.83	$2,185.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $953.39 / $1,032.83 / $2,185.19	Professional		$953.39	$1,032.83	$2,185.19
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $794.49 / $1,418.16	Professional		$794.49	$794.49	$1,418.16
United Facility/Professional Professional Modifier Low / Median / High Price $476.69 / $476.69 / $1,626.72	Professional		$476.69	$476.69	$1,626.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.49 / $794.49 / $794.49	Professional		$794.49	$794.49	$794.49