Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $1,167.24 / $1,632.71	Facility		$646.79	$1,167.24	$1,632.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $522.00 / $2,630.00	Professional		$462.00	$522.00	$2,630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.59 / $1,090.18 / $1,362.72	Professional		$720.59	$1,090.18	$1,362.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $750.00 / $1,050.00	Professional		$510.00	$750.00	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $598.73 / $774.26 / $1,380.00	Facility		$598.73	$774.26	$1,380.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $600.00 / $2,355.21	Professional		$360.00	$600.00	$2,355.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,100.16 / $1,333.36	Facility		$720.00	$1,100.16	$1,333.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,100.16 / $1,530.00	Professional		$720.00	$1,100.16	$1,530.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,071.00	Professional		$600.00	$600.00	$1,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $1,936.26	Professional		$360.00	$360.00	$1,936.26
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00