Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,230.27 / $1,778.28	Facility		$489.78	$1,230.27	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $537.03 / $812.83	Professional		$446.68	$537.03	$812.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,230.27 / $1,548.82	Professional		$831.76	$1,230.27	$1,548.82
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $851.14 / $1,122.02	Professional		$549.54	$851.14	$1,122.02
Medica Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $776.25 / $1,659.59	Facility		$645.65	$776.25	$1,659.59
Medica Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $645.65 / $2,570.40	Professional		$389.05	$645.65	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $831.76	Professional		$776.25	$776.25	$831.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $691.83 / $1,380.38	Professional		$645.65	$691.83	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $1,479.11	Facility		$645.65	$645.65	$1,479.11
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $1,621.81	Professional		$389.05	$389.05	$1,621.81
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Professional		$645.65	$645.65	$645.65