Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $5,370.32 / $7,943.28	Facility		$831.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Professional		$831.76	$831.76	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,778.28 / $2,238.72	Professional		$1,513.56	$1,778.28	$2,238.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,348.96 / $5,754.40	Professional		$741.31	$1,348.96	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,995.26 / $7,079.46	Facility		$831.76	$1,995.26	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,479.11 / $1,737.80	Professional		$1,412.54	$1,479.11	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Professional		$1,737.80	$1,737.80	$1,737.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,737.80	Professional		$1,479.11	$1,479.11	$1,737.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70