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 $386.03 / $508.86 / $567.35	Professional		$386.03	$508.86	$567.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.47 / $1,062.10 / $1,327.63	Professional		$702.47	$1,062.10	$1,327.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $643.39 / $1,023.58 / $2,859.54	Professional		$643.39	$1,023.58	$2,859.54
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.90 / $754.78 / $1,497.34	Facility		$584.90	$754.78	$1,497.34
Medica Facility/Professional Professional Modifier Low / Median / High Price $350.94 / $584.90 / $2,834.50	Professional		$350.94	$584.90	$2,834.50
Midlands Facility/Professional Facility Modifier Low / Median / High Price $701.88 / $1,191.64 / $1,604.72	Facility		$701.88	$1,191.64	$1,604.72
Midlands Facility/Professional Professional Modifier Low / Median / High Price $701.88 / $1,191.64 / $1,584.46	Professional		$701.88	$1,191.64	$1,584.46
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 Professional Modifier Low / Median / High Price $350.94 / $350.94 / $1,416.76	Professional		$350.94	$350.94	$1,416.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $584.90 / $584.90 / $584.90	Professional		$584.90	$584.90	$584.90