Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $669.20 / $853.91 / $1,499.54	Facility		$669.20	$853.91	$1,499.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $337.98 / $337.98 / $425.76	Professional		$337.98	$337.98	$425.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $527.15 / $2,368.36 / $2,960.45	Professional		$527.15	$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 $520.49 / $1,303.95 / $6,102.49	Facility		$520.49	$1,303.95	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $263.36 / $452.10 / $2,307.81	Professional		$263.36	$452.10	$2,307.81
Midlands Facility/Professional Facility Modifier Low / Median / High Price $566.41 / $1,179.97 / $1,825.53	Facility		$566.41	$1,179.97	$1,825.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $566.41 / $975.40 / $1,564.74	Professional		$566.41	$975.40	$1,564.74
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 $263.36 / $292.62 / $1,303.95	Professional		$263.36	$292.62	$1,303.95
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