Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $587.63 / $587.63 / $634.29	Professional		$587.63	$587.63	$634.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,310.16 / $1,655.39 / $1,834.22	Facility		$1,310.16	$1,655.39	$1,834.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $624.36 / $989.62 / $989.62	Professional		$624.36	$989.62	$989.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,289.72 / $1,527.27	Professional		$150.00	$1,289.72	$1,527.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $791.04 / $1,034.28 / $1,781.86	Facility		$791.04	$1,034.28	$1,781.86
Medica Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $1,224.22	Professional		$612.11	$612.11	$1,224.22
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,310.16 / $1,528.52 / $1,781.86	Facility		$1,310.16	$1,528.52	$1,781.86
Midlands Facility/Professional Professional Modifier Low / Median / High Price $989.62 / $989.62 / $989.62	Professional		$989.62	$989.62	$989.62
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $756.30 / $1,854.08 / $2,091.94	Professional		$756.30	$1,854.08	$2,091.94
United Facility/Professional Professional Modifier Low / Median / High Price $612.11 / $612.11 / $661.08	Professional		$612.11	$612.11	$661.08
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $650.96 / $824.00 / $824.00	Professional		$650.96	$824.00	$824.00