Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.78 / $1,477.60 / $2,066.82	Facility		$818.78	$1,477.60	$2,066.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.00 / $584.84 / $736.74	Professional		$88.00	$584.84	$736.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $872.67 / $1,379.37 / $1,724.21	Professional		$872.67	$1,379.37	$1,724.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $1,253.22 / $2,252.01	Professional		$645.60	$1,253.22	$2,252.01
Medica Facility/Professional Facility Modifier Low / Median / High Price $584.84 / $980.13 / $2,488.87	Facility		$584.84	$980.13	$2,488.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $455.72 / $1,920.85	Professional		$49.64	$455.72	$1,920.85
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.18 / $1,293.94 / $1,664.58	Facility		$912.18	$1,293.94	$1,664.58
Midlands Facility/Professional Professional Modifier Low / Median / High Price $911.44 / $1,285.48 / $1,936.80	Professional		$911.44	$1,285.48	$1,936.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $759.53 / $759.53 / $1,355.76	Professional		$759.53	$759.53	$1,355.76
United Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $455.72 / $1,655.78	Professional		$48.04	$455.72	$1,655.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.03 / $759.53 / $759.53	Professional		$600.03	$759.53	$759.53