Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $1,478.51 / $2,068.10	Facility		$760.00	$1,478.51	$2,068.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $501.60 / $585.20 / $737.20	Professional		$501.60	$585.20	$737.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,380.67 / $1,725.84	Professional		$912.00	$1,380.67	$1,725.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $836.00 / $1,375.60	Professional		$150.00	$836.00	$1,375.60
Medica Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $982.30 / $1,945.60	Facility		$760.00	$982.30	$1,945.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $471.20 / $2,452.60	Professional		$456.00	$471.20	$2,452.60
Midlands Facility/Professional Facility Modifier Low / Median / High Price $912.00 / $1,064.00 / $1,665.61	Facility		$912.00	$1,064.00	$1,665.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $912.00 / $1,330.00 / $1,778.40	Professional		$912.00	$1,330.00	$1,778.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $1,356.60	Professional		$760.00	$760.00	$1,356.60
United Facility/Professional Facility Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Facility		$760.00	$760.00	$760.00
United Facility/Professional Professional Modifier Low / Median / High Price $456.00 / $456.00 / $1,656.80	Professional		$456.00	$456.00	$1,656.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.00 / $760.00 / $760.00	Professional		$760.00	$760.00	$760.00