Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $2,458.08 / $3,438.30	Facility		$1,263.53	$2,458.08	$3,438.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $833.93 / $972.92 / $1,099.27	Professional		$833.93	$972.92	$1,099.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,516.24 / $2,294.59 / $2,868.24	Professional		$1,516.24	$2,294.59	$2,868.24
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,074.00 / $1,705.77 / $2,286.98	Professional		$1,074.00	$1,705.77	$2,286.98
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,263.53 / $1,633.11 / $3,234.64	Facility		$1,263.53	$1,633.11	$3,234.64
Medica Facility/Professional Professional Modifier Low / Median / High Price $758.12 / $783.39 / $4,077.54	Professional		$758.12	$783.39	$4,077.54
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,516.24 / $1,768.94 / $2,769.13	Facility		$1,516.24	$1,768.94	$2,769.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,516.24 / $2,211.17 / $2,956.66	Professional		$1,516.24	$2,211.17	$2,956.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,263.53 / $2,255.40	Professional		$1,263.53	$1,263.53	$2,255.40
United Facility/Professional Professional Modifier Low / Median / High Price $758.12 / $758.12 / $2,754.50	Professional		$758.12	$758.12	$2,754.50
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,263.53 / $1,263.53 / $1,263.53	Professional		$1,263.53	$1,263.53	$1,263.53