Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $1,122.02 / $1,621.81	Facility		$446.68	$1,122.02	$1,621.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $524.81 / $1,174.90	Professional		$407.38	$524.81	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,122.02 / $1,412.54	Professional		$707.95	$1,122.02	$1,412.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $1,047.13 / $4,677.35	Professional		$501.19	$1,047.13	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $707.95 / $1,584.89	Facility		$588.84	$707.95	$1,584.89
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $707.95 / $2,951.21	Professional		$354.81	$707.95	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $758.58	Professional		$707.95	$707.95	$758.58
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $1,258.93	Professional		$588.84	$630.96	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,288.25	Facility		$588.84	$588.84	$1,288.25
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $478.63 / $1,479.11	Professional		$354.81	$478.63	$1,479.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84