Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $1,546.60 / $2,163.34	Facility		$795.00	$1,546.60	$2,163.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.70 / $612.15 / $771.15	Professional		$524.70	$612.15	$771.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,443.99 / $1,804.99	Professional		$954.00	$1,443.99	$1,804.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $675.75 / $1,073.25 / $1,438.95	Professional		$675.75	$1,073.25	$1,438.95
Medica Facility/Professional Facility Modifier Low / Median / High Price $755.25 / $1,034.53 / $2,186.60	Facility		$755.25	$1,034.53	$2,186.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $506.02 / $3,105.49	Professional		$477.00	$506.02	$3,105.49
Midlands Facility/Professional Facility Modifier Low / Median / High Price $954.00 / $1,391.25 / $2,051.54	Facility		$954.00	$1,391.25	$2,051.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $954.00 / $1,391.25 / $2,186.60	Professional		$954.00	$1,391.25	$2,186.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $1,419.08	Professional		$795.00	$795.00	$1,419.08
United Facility/Professional Professional Modifier Low / Median / High Price $477.00 / $477.00 / $1,627.76	Professional		$477.00	$477.00	$1,627.76
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $795.00 / $795.00 / $795.00	Professional		$795.00	$795.00	$795.00