Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $829.61 / $1,497.15 / $2,094.17	Facility		$829.61	$1,497.15	$2,094.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.92 / $669.53 / $746.49	Professional		$507.92	$669.53	$746.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $924.26 / $1,397.64 / $1,747.06	Professional		$924.26	$1,397.64	$1,747.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $846.54 / $1,346.77 / $1,639.43	Professional		$846.54	$1,346.77	$1,639.43
Medica Facility/Professional Facility Modifier Low / Median / High Price $731.10 / $924.26 / $1,770.03	Facility		$731.10	$924.26	$1,770.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $769.58 / $3,020.87	Professional		$461.75	$769.58	$3,020.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $923.50 / $1,411.09 / $1,710.23	Facility		$923.50	$1,411.09	$1,710.23
Midlands Facility/Professional Professional Modifier Low / Median / High Price $923.50 / $1,385.24 / $1,962.43	Professional		$923.50	$1,385.24	$1,962.43
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $1,373.70	Professional		$769.58	$769.58	$1,373.70
United Facility/Professional Professional Modifier Low / Median / High Price $461.75 / $461.75 / $1,575.72	Professional		$461.75	$461.75	$1,575.72
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $769.58 / $769.58 / $769.58	Professional		$769.58	$769.58	$769.58