Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.27 / $1,316.08 / $1,840.90	Facility		$729.27	$1,316.08	$1,840.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.49 / $588.55 / $656.21	Professional		$446.49	$588.55	$656.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.77 / $786.68 / $809.60	Facility		$763.77	$786.68	$809.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,228.57 / $1,535.71	Professional		$811.80	$1,228.57	$1,535.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $654.28 / $948.55 / $1,183.88	Professional		$654.28	$948.55	$1,183.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $642.67 / $812.48 / $1,555.95	Facility		$642.67	$812.48	$1,555.95
Medica Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $254.59 / $1,867.14	Professional		$169.73	$254.59	$1,867.14
Midlands Facility/Professional Facility Modifier Low / Median / High Price $517.92 / $879.45 / $1,482.61	Facility		$517.92	$879.45	$1,482.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $517.92 / $879.45 / $1,765.67	Professional		$517.92	$879.45	$1,765.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $1,207.55	Professional		$676.50	$676.50	$1,207.55
United Facility/Professional Professional Modifier Low / Median / High Price $169.73 / $169.73 / $616.67	Professional		$169.73	$169.73	$616.67
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $676.50	Professional		$676.50	$676.50	$676.50