Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,698.24 / $2,454.71	Facility		$691.83	$1,698.24	$2,454.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,122.02	Professional		$588.84	$741.31	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,737.80 / $2,137.96	Professional		$1,071.52	$1,737.80	$2,137.96
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,230.27 / $1,584.89	Professional		$758.58	$1,230.27	$1,584.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,071.52 / $2,290.87	Facility		$851.14	$1,071.52	$2,290.87
Medica Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $3,548.13	Professional		$537.03	$891.25	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,071.52 / $1,148.15	Professional		$1,071.52	$1,071.52	$1,148.15
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $977.24 / $1,905.46	Professional		$891.25	$977.24	$1,905.46
United Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $1,995.26	Facility		$891.25	$891.25	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $2,041.74	Professional		$537.03	$537.03	$2,041.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25