Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $1,381.24 / $1,932.04	Facility		$710.00	$1,381.24	$1,932.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,918.92 / $1,918.92 / $1,918.92	Professional		$1,918.92	$1,918.92	$1,918.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,289.93 / $1,289.93 / $1,612.42	Professional		$1,289.93	$1,289.93	$1,612.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $603.50 / $958.50 / $3,628.90	Professional		$603.50	$958.50	$3,628.90
Medica Facility/Professional Facility Modifier Low / Median / High Price $710.00 / $916.21 / $1,817.60	Facility		$710.00	$916.21	$1,817.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $476.41 / $2,667.67	Professional		$426.00	$476.41	$2,667.67
Midlands Facility/Professional Facility Modifier Low / Median / High Price $852.00 / $1,078.04 / $1,556.02	Facility		$852.00	$1,078.04	$1,556.02
Midlands Facility/Professional Professional Modifier Low / Median / High Price $852.00 / $1,298.41 / $1,853.10	Professional		$852.00	$1,298.41	$1,853.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $710.00 / $1,267.34	Professional		$710.00	$710.00	$1,267.34
United Facility/Professional Professional Modifier Low / Median / High Price $426.00 / $426.00 / $1,453.73	Professional		$426.00	$426.00	$1,453.73
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $710.00 / $710.00 / $710.00	Professional		$710.00	$710.00	$710.00