Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.30 / $764.04 / $1,224.54	Facility		$181.30	$764.04	$1,224.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $639.28 / $848.84 / $914.40	Professional		$639.28	$848.84	$914.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $852.38 / $1,065.47 / $1,065.47	Professional		$852.38	$1,065.47	$1,065.47
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,138.00 / $1,162.00	Professional		$150.00	$1,138.00	$1,162.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $751.11 / $988.73 / $1,823.61	Facility		$751.11	$988.73	$1,823.61
Medica Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $1,766.48	Professional		$883.24	$883.24	$1,766.48
Midlands Facility/Professional Facility Modifier Low / Median / High Price $988.73 / $1,175.85 / $1,823.61	Facility		$988.73	$1,175.85	$1,823.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $751.11 / $1,175.85 / $1,823.61	Professional		$751.11	$1,175.85	$1,823.61
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,444.39 / $1,535.94 / $1,629.42	Professional		$1,444.39	$1,535.94	$1,629.42
United Facility/Professional Professional Modifier Low / Median / High Price $883.24 / $883.24 / $937.03	Professional		$883.24	$883.24	$937.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $523.51 / $662.67 / $662.67	Professional		$523.51	$662.67	$662.67