Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,646.34 / $2,302.86	Facility		$846.27	$1,646.34	$2,302.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $651.63 / $820.88	Professional		$558.54	$651.63	$820.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,536.69 / $1,920.86	Professional		$1,016.36	$1,536.69	$1,920.86
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,092.05 / $2,166.44	Facility		$846.27	$1,092.05	$2,166.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $524.69 / $2,731.00	Professional		$507.76	$524.69	$2,731.00
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $1,184.78 / $1,743.32	Facility		$1,015.52	$1,184.78	$1,743.32
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,286.33 / $1,743.32	Professional		$1,015.52	$1,286.33	$1,743.32
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,510.59	Professional		$846.27	$846.27	$1,510.59
United Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $507.76 / $1,732.74	Professional		$507.76	$507.76	$1,732.74
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $846.27	Professional		$846.27	$846.27	$846.27