Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.67 / $1,266.67 / $1,266.67	Facility		$1,266.67	$1,266.67	$1,266.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $1,266.67	Professional		$204.96	$204.96	$1,266.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.89 / $334.88 / $553.07	Professional		$267.89	$334.88	$553.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $370.98 / $688.50	Professional		$174.22	$370.98	$688.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $417.59 / $1,266.67	Facility		$235.17	$417.59	$1,266.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $235.17 / $759.55	Professional		$235.17	$235.17	$759.55
Midlands Facility/Professional Facility Modifier Low / Median / High Price $300.22 / $315.51 / $759.55	Facility		$300.22	$315.51	$759.55
Midlands Facility/Professional Professional Modifier Low / Median / High Price $282.20 / $342.36 / $759.55	Professional		$282.20	$342.36	$759.55
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $184.90 / $202.40 / $1,205.09	Professional		$184.90	$202.40	$1,205.09
United Facility/Professional Professional Modifier Low / Median / High Price $204.96 / $204.96 / $225.46	Professional		$204.96	$204.96	$225.46
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $235.17 / $235.17 / $235.17	Facility		$235.17	$235.17	$235.17
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $235.17 / $235.17	Professional		$185.78	$235.17	$235.17