Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,737.80 / $2,041.74	Facility		$741.31	$1,737.80	$2,041.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $588.84 / $724.44	Professional		$524.81	$588.84	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,778.28	Professional		$1,412.54	$1,412.54	$1,778.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $954.99 / $1,348.96	Professional		$151.36	$954.99	$1,348.96
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $891.25 / $1,819.70	Facility		$741.31	$891.25	$1,819.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $2,951.21	Professional		$446.68	$741.31	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Professional		$891.25	$891.25	$891.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $794.33 / $1,584.89	Professional		$724.44	$794.33	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,698.24	Facility		$741.31	$741.31	$1,698.24
United Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $1,862.09	Professional		$446.68	$446.68	$1,862.09
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31