Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $728.08 / $1,313.93 / $2,012.89	Facility		$728.08	$1,313.93	$2,012.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $445.76 / $587.60 / $655.14	Professional		$445.76	$587.60	$655.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $810.48 / $1,226.60 / $1,533.26	Professional		$810.48	$1,226.60	$1,533.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $1,013.10 / $1,222.47	Professional		$675.40	$1,013.10	$1,222.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $675.40 / $866.61 / $1,553.42	Facility		$675.40	$866.61	$1,553.42
Medica Facility/Professional Professional Modifier Low / Median / High Price $387.74 / $675.40 / $2,508.09	Professional		$387.74	$675.40	$2,508.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $810.48 / $1,052.64 / $1,480.20	Facility		$810.48	$1,052.64	$1,480.20
Midlands Facility/Professional Professional Modifier Low / Median / High Price $810.48 / $1,215.72 / $1,480.20	Professional		$810.48	$1,215.72	$1,480.20
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $675.40 / $1,205.58	Professional		$675.40	$675.40	$1,205.58
United Facility/Professional Professional Modifier Low / Median / High Price $387.74 / $405.24 / $1,472.37	Professional		$387.74	$405.24	$1,472.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $675.40 / $675.40 / $675.40	Professional		$675.40	$675.40	$675.40