Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $646.79 / $1,167.24 / $1,871.06	Facility		$646.79	$1,167.24	$1,871.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $522.00 / $582.00	Professional		$396.00	$522.00	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,090.18 / $1,362.72	Professional		$720.00	$1,090.18	$1,362.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $590.67 / $836.35 / $1,050.00	Professional		$590.67	$836.35	$1,050.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $774.26 / $1,380.00	Facility		$600.00	$774.26	$1,380.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $600.00 / $2,331.37	Professional		$360.00	$600.00	$2,331.37
Midlands Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $978.48 / $1,314.96	Facility		$720.00	$978.48	$1,314.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,080.00 / $1,314.96	Professional		$720.00	$1,080.00	$1,314.96
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,071.00	Professional		$600.00	$600.00	$1,071.00
United Facility/Professional Facility Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Facility		$900.00	$900.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.00 / $360.00 / $1,110.00	Professional		$360.00	$360.00	$1,110.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00