Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $629.79 / $1,136.57 / $1,589.81	Facility		$629.79	$1,136.57	$1,589.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $385.59 / $508.28 / $566.70	Professional		$385.59	$508.28	$566.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $701.65 / $1,060.80 / $1,326.00	Professional		$701.65	$1,060.80	$1,326.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $496.60 / $759.50 / $1,057.46	Professional		$496.60	$759.50	$1,057.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.85 / $701.65 / $1,559.89	Facility		$582.85	$701.65	$1,559.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.54 / $584.23 / $2,298.41	Professional		$350.54	$584.23	$2,298.41
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.08 / $1,071.24 / $1,697.13	Facility		$701.08	$1,071.24	$1,697.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.08 / $1,071.24 / $1,489.79	Professional		$701.08	$1,071.24	$1,489.79
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $1,042.84	Professional		$584.23	$584.23	$1,042.84
United Facility/Professional Professional Modifier Low / Median / High Price $350.54 / $350.54 / $1,273.61	Professional		$350.54	$350.54	$1,273.61
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.23 / $584.23 / $584.23	Professional		$584.23	$584.23	$584.23