Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,445.44 / $2,089.30	Facility		$588.84	$1,445.44	$2,089.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $602.56 / $758.58	Professional		$537.03	$602.56	$758.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,819.70	Professional		$1,445.44	$1,445.44	$1,819.70
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $977.24 / $1,380.38	Professional		$151.36	$977.24	$1,380.38
Medica Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $912.01 / $1,949.84	Facility		$758.58	$912.01	$1,949.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $758.58 / $3,019.95	Professional		$457.09	$758.58	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $812.83 / $1,621.81	Professional		$758.58	$812.83	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $1,737.80	Facility		$758.58	$758.58	$1,737.80
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $1,905.46	Professional		$457.09	$457.09	$1,905.46
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58