Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $817.52 / $1,475.32 / $2,063.64	Facility		$817.52	$1,475.32	$2,063.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.52 / $659.77 / $735.61	Professional		$500.52	$659.77	$735.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $910.78 / $1,377.41 / $1,721.76	Professional		$910.78	$1,377.41	$1,721.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $740.53 / $1,073.58 / $1,327.13	Professional		$740.53	$1,073.58	$1,327.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.36 / $910.78 / $1,744.23	Facility		$758.36	$910.78	$1,744.23
Medica Facility/Professional Professional Modifier Low / Median / High Price $455.02 / $758.36 / $2,976.85	Professional		$455.02	$758.36	$2,976.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $910.03 / $1,390.52 / $1,685.27	Facility		$910.03	$1,390.52	$1,685.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $910.03 / $1,365.05 / $1,933.82	Professional		$910.03	$1,365.05	$1,933.82
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $758.36 / $1,353.67	Professional		$758.36	$758.36	$1,353.67
United Facility/Professional Professional Modifier Low / Median / High Price $455.02 / $455.02 / $1,552.74	Professional		$455.02	$455.02	$1,552.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.36 / $758.36 / $758.36	Professional		$758.36	$758.36	$758.36