Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,513.56 / $2,187.76	Facility		$616.60	$1,513.56	$2,187.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $794.33	Professional		$562.34	$630.96	$794.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,905.46	Professional		$1,513.56	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $1,023.29 / $1,445.44	Professional		$151.36	$1,023.29	$1,445.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,023.29 / $2,187.76	Facility		$758.58	$1,023.29	$2,187.76
Medica Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $794.33 / $3,162.28	Professional		$478.63	$794.33	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $851.14 / $1,698.24	Professional		$794.33	$851.14	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,202.26	Facility		$794.33	$794.33	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $1,995.26	Professional		$478.63	$478.63	$1,995.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33