Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $1,070.78 / $1,632.71	Facility		$600.00	$1,070.78	$1,632.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $462.00 / $582.00	Professional		$396.00	$462.00	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,090.18 / $1,362.72	Professional		$720.00	$1,090.18	$1,362.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $810.00 / $3,066.66	Professional		$510.00	$810.00	$3,066.66
Medica Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $774.26 / $1,536.00	Facility		$600.00	$774.26	$1,536.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $301.35 / $1,566.00	Professional		$180.81	$301.35	$1,566.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $911.03 / $1,314.96	Facility		$720.00	$911.03	$1,314.96
Midlands Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $1,097.25 / $1,566.00	Professional		$720.00	$1,097.25	$1,566.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $1,071.00	Professional		$600.00	$600.00	$1,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $180.81 / $656.94	Professional		$180.81	$180.81	$656.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00