Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.73 / $1,137.85 / $1,591.61	Facility		$891.73	$1,137.85	$1,591.61
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 $702.47 / $2,368.36 / $2,960.45	Professional		$702.47	$2,368.36	$2,960.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.35 / $1,695.14 / $2,281.91	Professional		$1,108.35	$1,695.14	$2,281.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $450.37 / $1,497.34 / $3,481.55	Facility		$450.37	$1,497.34	$3,481.55
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $602.45 / $2,999.09	Professional		$350.94	$602.45	$2,999.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $754.78 / $1,564.74 / $1,825.53	Facility		$754.78	$1,564.74	$1,825.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $754.78 / $1,299.77 / $1,695.14	Professional		$754.78	$1,299.77	$1,695.14
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $2,327.55	Professional		$1,303.95	$1,303.95	$2,327.55
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $417.01 / $2,708.92	Professional		$350.94	$417.01	$2,708.92
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,303.95 / $1,303.95	Professional		$1,030.11	$1,303.95	$1,303.95