Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $954.99 / $1,380.38	Facility		$380.19	$954.99	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,000.00	Professional		$346.74	$436.52	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $954.99 / $1,202.26	Professional		$645.65	$954.99	$1,202.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $912.01 / $1,737.80	Professional		$549.54	$912.01	$1,737.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $602.56 / $1,288.25	Facility		$501.19	$602.56	$1,288.25
Medica Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $602.56 / $1,949.84	Professional		$302.00	$602.56	$1,949.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $645.65	Professional		$602.56	$602.56	$645.65
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $537.03 / $1,071.52	Professional		$501.19	$537.03	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $1,148.15	Facility		$501.19	$501.19	$1,148.15
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $1,258.93	Professional		$302.00	$302.00	$1,258.93
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Professional		$501.19	$501.19	$501.19