Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.52 / $1,137.85 / $1,591.61	Facility		$630.52	$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 $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 / $4,625.28	Professional		$497.17	$965.09	$4,625.28
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $760.37 / $3,075.27	Facility		$584.90	$760.37	$3,075.27
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 Facility Modifier Low / Median / High Price $584.90 / $584.90 / $1,345.27	Facility		$584.90	$584.90	$1,345.27
United Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $481.40 / $1,479.21	Professional		$350.94	$481.40	$1,479.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $462.07 / $584.90 / $584.90	Professional		$462.07	$584.90	$584.90