Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.27 / $1,316.08 / $1,840.90	Facility		$729.27	$1,316.08	$1,840.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.49 / $588.55 / $656.21	Professional		$446.49	$588.55	$656.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $812.48 / $1,228.57 / $1,535.71	Professional		$812.48	$1,228.57	$1,535.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $744.15 / $1,183.88 / $2,254.54	Professional		$744.15	$1,183.88	$2,254.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $872.98 / $1,555.95	Facility		$676.50	$872.98	$1,555.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $676.50 / $2,775.31	Professional		$405.90	$676.50	$2,775.31
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.80 / $1,240.44 / $1,571.20	Facility		$811.80	$1,240.44	$1,571.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,240.44 / $1,725.08	Professional		$811.80	$1,240.44	$1,725.08
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $1,207.55	Professional		$676.50	$676.50	$1,207.55
United Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $405.90 / $1,251.53	Professional		$405.90	$405.90	$1,251.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $676.50	Professional		$676.50	$676.50	$676.50