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 / $2,433.57	Facility		$729.27	$1,316.08	$2,433.57
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 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 $676.50 / $1,014.75 / $1,224.47	Professional		$676.50	$1,014.75	$1,224.47
Medica Facility/Professional Facility Modifier Low / Median / High Price $676.50 / $879.45 / $1,731.84	Facility		$676.50	$879.45	$1,731.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $405.90 / $696.80 / $3,032.21	Professional		$405.90	$696.80	$3,032.21
Midlands Facility/Professional Facility Modifier Low / Median / High Price $811.80 / $1,240.44 / $1,606.05	Facility		$811.80	$1,240.44	$1,606.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $811.80 / $1,240.44 / $1,679.77	Professional		$811.80	$1,240.44	$1,679.77
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 $405.90 / $405.90 / $1,474.77	Professional		$405.90	$405.90	$1,474.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $676.50 / $676.50 / $676.50	Professional		$676.50	$676.50	$676.50