Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $558.71 / $1,008.28 / $1,410.35	Facility		$558.71	$1,008.28	$1,410.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $342.06 / $399.08 / $502.73	Professional		$342.06	$399.08	$502.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $622.45 / $941.34 / $1,176.67	Professional		$622.45	$941.34	$1,176.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $570.11 / $906.99 / $953.60	Professional		$570.11	$906.99	$953.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $518.28 / $668.81 / $1,326.80	Facility		$518.28	$668.81	$1,326.80
Medica Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $466.45 / $1,947.33	Professional		$310.97	$466.45	$1,947.33
Midlands Facility/Professional Facility Modifier Low / Median / High Price $621.94 / $725.59 / $1,135.84	Facility		$621.94	$725.59	$1,135.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $621.94 / $947.80 / $1,352.71	Professional		$621.94	$947.80	$1,352.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $925.13	Professional		$518.28	$518.28	$925.13
United Facility/Professional Professional Modifier Low / Median / High Price $310.97 / $310.97 / $1,061.18	Professional		$310.97	$310.97	$1,061.18
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $518.28 / $518.28 / $518.28	Professional		$518.28	$518.28	$518.28