Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $971.49 / $971.49 / $2,728.54	Facility		$971.49	$971.49	$2,728.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $741.00 / $1,258.98	Professional		$733.67	$741.00	$1,258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $718.46 / $733.67 / $913.98	Professional		$718.46	$733.67	$913.98
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $578.54 / $822.73 / $1,856.19	Professional		$578.54	$822.73	$1,856.19
Medica Facility/Professional Facility Modifier Low / Median / High Price $456.98 / $759.29 / $1,187.57	Facility		$456.98	$759.29	$1,187.57
Medica Facility/Professional Professional Modifier Low / Median / High Price $734.15 / $807.57 / $3,104.06	Professional		$734.15	$807.57	$3,104.06
Midlands Facility/Professional Facility Modifier Low / Median / High Price $409.21 / $1,054.58 / $1,230.35	Facility		$409.21	$1,054.58	$1,230.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $298.38 / $846.17 / $1,101.23	Professional		$298.38	$846.17	$1,101.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $424.00 / $1,452.74 / $1,532.58	Professional		$424.00	$1,452.74	$1,532.58
United Facility/Professional Professional Modifier Low / Median / High Price $733.67 / $755.68 / $902.41	Professional		$733.67	$755.68	$902.41
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $803.41 / $803.41 / $803.41	Facility		$803.41	$803.41	$803.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $634.69 / $803.41 / $803.41	Professional		$634.69	$803.41	$803.41