Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $644.54 / $1,163.18 / $1,627.02	Facility		$644.54	$1,163.18	$1,627.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.39 / $460.39 / $1,970.32	Professional		$460.39	$460.39	$1,970.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $686.82 / $1,085.60 / $1,357.01	Professional		$686.82	$1,085.60	$1,357.01
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $508.22 / $986.55 / $2,192.65	Professional		$508.22	$986.55	$2,192.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.39 / $771.56 / $2,295.07	Facility		$460.39	$771.56	$2,295.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $370.70 / $1,512.11	Professional		$49.64	$370.70	$1,512.11
Midlands Facility/Professional Facility Modifier Low / Median / High Price $718.09 / $1,096.32 / $1,310.36	Facility		$718.09	$1,096.32	$1,310.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $717.49 / $1,076.24 / $1,524.67	Professional		$717.49	$1,076.24	$1,524.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $597.91 / $597.91 / $1,067.27	Professional		$597.91	$597.91	$1,067.27
United Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $358.75 / $1,375.19	Professional		$49.64	$358.75	$1,375.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $472.35 / $597.91 / $597.91	Professional		$472.35	$597.91	$597.91