Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $1,455.92 / $2,036.50	Facility		$748.39	$1,455.92	$2,036.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,022.67 / $2,022.67 / $2,022.67	Professional		$2,022.67	$2,022.67	$2,022.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.07 / $1,359.78 / $1,699.73	Professional		$898.07	$1,359.78	$1,699.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $636.13 / $1,010.33 / $3,825.10	Professional		$636.13	$1,010.33	$3,825.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $748.39 / $965.75 / $1,915.88	Facility		$748.39	$965.75	$1,915.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $449.03 / $502.17 / $2,811.90	Professional		$449.03	$502.17	$2,811.90
Midlands Facility/Professional Facility Modifier Low / Median / High Price $898.07 / $1,136.33 / $1,640.16	Facility		$898.07	$1,136.33	$1,640.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $898.07 / $1,368.62 / $1,953.30	Professional		$898.07	$1,368.62	$1,953.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $748.39 / $1,335.88	Professional		$748.39	$748.39	$1,335.88
United Facility/Professional Professional Modifier Low / Median / High Price $449.03 / $449.03 / $1,631.49	Professional		$449.03	$449.03	$1,631.49
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $748.39 / $748.39 / $748.39	Professional		$748.39	$748.39	$748.39