Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $569.04 / $1,026.92 / $1,436.43	Facility		$569.04	$1,026.92	$1,436.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $348.39 / $459.25 / $512.03	Professional		$348.39	$459.25	$512.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $633.97 / $958.96 / $1,198.70	Professional		$633.97	$958.96	$1,198.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $580.66 / $923.77 / $1,140.53	Professional		$580.66	$923.77	$1,140.53
Medica Facility/Professional Facility Modifier Low / Median / High Price $527.87 / $633.97 / $1,214.09	Facility		$527.87	$633.97	$1,214.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $527.87 / $2,072.06	Professional		$316.72	$527.87	$2,072.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $633.44 / $967.90 / $1,173.06	Facility		$633.44	$967.90	$1,173.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $633.44 / $967.90 / $1,346.07	Professional		$633.44	$967.90	$1,346.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $942.25	Professional		$527.87	$527.87	$942.25
United Facility/Professional Professional Modifier Low / Median / High Price $316.72 / $316.72 / $1,080.81	Professional		$316.72	$316.72	$1,080.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $527.87 / $527.87 / $527.87	Professional		$527.87	$527.87	$527.87