Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $668.97 / $1,145.45 / $1,746.57	Facility		$668.97	$1,145.45	$1,746.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $423.62 / $558.41 / $622.59	Professional		$423.62	$558.41	$622.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $770.22 / $1,165.90 / $1,457.38	Professional		$770.22	$1,165.90	$1,457.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $588.94 / $853.82 / $1,123.24	Professional		$588.94	$853.82	$1,123.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $415.52 / $770.22 / $1,476.26	Facility		$415.52	$770.22	$1,476.26
Medica Facility/Professional Professional Modifier Low / Median / High Price $172.70 / $508.18 / $1,675.23	Professional		$172.70	$508.18	$1,675.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $468.84 / $837.88 / $1,406.67	Facility		$468.84	$837.88	$1,406.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $470.39 / $834.41 / $1,322.21	Professional		$470.39	$834.41	$1,322.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $641.85 / $1,145.70	Professional		$641.85	$641.85	$1,145.70
United Facility/Professional Professional Modifier Low / Median / High Price $183.20 / $385.11 / $831.83	Professional		$183.20	$385.11	$831.83
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $641.85 / $641.85 / $641.85	Professional		$641.85	$641.85	$641.85