Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $1,442.78 / $2,018.13	Facility		$741.64	$1,442.78	$2,018.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,004.42 / $2,004.42 / $2,004.42	Professional		$2,004.42	$2,004.42	$2,004.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,347.38 / $1,347.38 / $1,684.22	Professional		$1,347.38	$1,347.38	$1,684.22
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $630.39 / $1,001.21 / $3,790.61	Professional		$630.39	$1,001.21	$3,790.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $741.64 / $957.04 / $1,898.60	Facility		$741.64	$957.04	$1,898.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $497.64 / $2,786.54	Professional		$444.98	$497.64	$2,786.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $889.97 / $1,126.08 / $1,625.37	Facility		$889.97	$1,126.08	$1,625.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $889.97 / $1,356.27 / $1,935.68	Professional		$889.97	$1,356.27	$1,935.68
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $741.64 / $1,323.83	Professional		$741.64	$741.64	$1,323.83
United Facility/Professional Professional Modifier Low / Median / High Price $444.98 / $444.98 / $1,518.51	Professional		$444.98	$444.98	$1,518.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $741.64 / $741.64 / $741.64	Professional		$741.64	$741.64	$741.64