Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $732.58 / $1,322.04 / $1,849.24	Facility		$732.58	$1,322.04	$1,849.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.27 / $523.27 / $659.18	Professional		$523.27	$523.27	$659.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.98 / $1,234.44 / $1,543.06	Professional		$780.98	$1,234.44	$1,543.06
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $577.63 / $1,121.29 / $1,779.63	Professional		$577.63	$1,121.29	$1,779.63
Medica Facility/Professional Facility Modifier Low / Median / High Price $523.27 / $876.94 / $2,667.56	Facility		$523.27	$876.94	$2,667.56
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $679.57 / $2,193.04	Professional		$407.74	$679.57	$2,193.04
Midlands Facility/Professional Facility Modifier Low / Median / High Price $816.17 / $1,246.06 / $1,739.70	Facility		$816.17	$1,246.06	$1,739.70
Midlands Facility/Professional Professional Modifier Low / Median / High Price $815.48 / $1,246.06 / $1,732.90	Professional		$815.48	$1,246.06	$1,732.90
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $679.57 / $679.57 / $1,213.03	Professional		$679.57	$679.57	$1,213.03
United Facility/Professional Professional Modifier Low / Median / High Price $407.74 / $407.74 / $1,563.01	Professional		$407.74	$407.74	$1,563.01
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $536.86 / $679.57 / $679.57	Professional		$536.86	$679.57	$679.57