Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $1,400.69 / $1,959.25	Facility		$720.00	$1,400.69	$1,959.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $554.40 / $554.40 / $698.40	Professional		$554.40	$554.40	$698.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.71 / $1,307.56 / $1,634.45	Professional		$864.71	$1,307.56	$1,634.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $612.00 / $972.00 / $1,303.20	Professional		$612.00	$972.00	$1,303.20
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.00 / $929.11 / $1,843.20	Facility		$720.00	$929.11	$1,843.20
Medica Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $458.28 / $2,764.07	Professional		$432.00	$458.28	$2,764.07
Midlands Facility/Professional Facility Modifier Low / Median / High Price $864.00 / $1,260.00 / $1,684.97	Facility		$864.00	$1,260.00	$1,684.97
Midlands Facility/Professional Professional Modifier Low / Median / High Price $864.00 / $1,330.56 / $1,684.97	Professional		$864.00	$1,330.56	$1,684.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $1,285.20	Professional		$720.00	$720.00	$1,285.20
United Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $1,569.60	Professional		$432.00	$432.00	$1,569.60
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $720.00 / $720.00 / $720.00	Professional		$720.00	$720.00	$720.00