Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Facility		$691.83	$691.83	$691.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $512.86 / $1,122.02	Professional		$407.38	$512.86	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $831.76 / $1,318.26	Professional		$457.09	$831.76	$1,318.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $870.96 / $1,698.24	Professional		$467.74	$870.96	$1,698.24
Medica Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $707.95 / $1,148.15	Facility		$467.74	$707.95	$1,148.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $3,630.78	Professional		$467.74	$851.14	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,318.26	Professional		$758.58	$1,023.29	$1,318.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $891.25 / $1,318.26	Professional		$724.44	$891.25	$1,318.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $933.25 / $1,202.26	Professional		$512.86	$933.25	$1,202.26
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,148.15	Professional		$446.68	$676.08	$1,148.15
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $912.01 / $1,071.52	Professional		$724.44	$912.01	$1,071.52