Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $1,362.87 / $1,906.35	Facility		$700.56	$1,362.87	$1,906.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.40 / $1,893.40 / $1,893.40	Professional		$1,893.40	$1,893.40	$1,893.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,272.31 / $1,272.31 / $1,590.38	Professional		$1,272.31	$1,272.31	$1,590.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $595.48 / $945.76 / $3,580.65	Professional		$595.48	$945.76	$3,580.65
Medica Facility/Professional Facility Modifier Low / Median / High Price $700.56 / $904.03 / $1,793.43	Facility		$700.56	$904.03	$1,793.43
Medica Facility/Professional Professional Modifier Low / Median / High Price $420.34 / $470.08 / $2,632.19	Professional		$420.34	$470.08	$2,632.19
Midlands Facility/Professional Facility Modifier Low / Median / High Price $840.67 / $1,063.71 / $1,535.34	Facility		$840.67	$1,063.71	$1,535.34
Midlands Facility/Professional Professional Modifier Low / Median / High Price $840.67 / $1,281.15 / $1,828.46	Professional		$840.67	$1,281.15	$1,828.46
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $700.56 / $1,250.50	Professional		$700.56	$700.56	$1,250.50
United Facility/Professional Professional Modifier Low / Median / High Price $420.34 / $420.34 / $1,527.22	Professional		$420.34	$420.34	$1,527.22
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $700.56 / $700.56 / $700.56	Professional		$700.56	$700.56	$700.56