Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.32 / $1,288.49 / $1,802.30	Facility		$662.32	$1,288.49	$1,802.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $437.13 / $509.99 / $642.45	Professional		$437.13	$509.99	$642.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.78 / $794.78 / $794.78	Facility		$794.78	$794.78	$794.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $861.02 / $1,203.10 / $1,503.89	Professional		$861.02	$1,203.10	$1,503.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $562.97 / $894.13 / $1,198.80	Professional		$562.97	$894.13	$1,198.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $509.99 / $861.02 / $1,695.54	Facility		$509.99	$861.02	$1,695.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $397.39 / $397.39 / $2,658.68	Professional		$397.39	$397.39	$2,658.68
Midlands Facility/Professional Facility Modifier Low / Median / High Price $794.78 / $861.02 / $1,549.83	Facility		$794.78	$861.02	$1,549.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $794.78 / $861.02 / $1,549.83	Professional		$794.78	$861.02	$1,549.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $662.32 / $1,182.24	Professional		$662.32	$662.32	$1,182.24
United Facility/Professional Professional Modifier Low / Median / High Price $397.39 / $397.39 / $1,356.10	Professional		$397.39	$397.39	$1,356.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $662.32 / $662.32 / $662.32	Professional		$662.32	$662.32	$662.32