Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $672.64 / $672.64 / $672.64	Facility		$672.64	$672.64	$672.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $450.37 / $450.37 / $567.35	Professional		$450.37	$450.37	$567.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $671.95 / $1,062.10 / $1,327.63	Professional		$671.95	$1,062.10	$1,327.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $497.17 / $965.09 / $2,311.38	Professional		$497.17	$965.09	$2,311.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $760.37 / $2,828.48	Facility		$584.90	$760.37	$2,828.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $602.45 / $2,589.19	Professional		$350.94	$602.45	$2,589.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $702.47 / $1,204.89 / $1,618.16	Facility		$702.47	$1,204.89	$1,618.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,191.64 / $1,594.63	Professional		$701.88	$1,191.64	$1,594.63
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $1,044.05	Professional		$584.90	$584.90	$1,044.05
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $362.64 / $1,642.77	Professional		$350.94	$362.64	$1,642.77
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $584.90 / $584.90	Professional		$462.07	$584.90	$584.90