Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $608.67 / $1,355.49 / $3,333.00	Professional		$608.67	$1,355.49	$3,333.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,339.46 / $1,802.69 / $2,784.31	Professional		$1,339.46	$1,802.69	$2,784.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $739.79 / $1,334.64 / $1,840.61	Professional		$739.79	$1,334.64	$1,840.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $920.67 / $1,530.88 / $3,396.00	Facility		$920.67	$1,530.88	$3,396.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $932.71 / $1,880.97 / $7,469.84	Professional		$932.71	$1,880.97	$7,469.84
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,292.00 / $1,832.69 / $2,450.67	Facility		$1,292.00	$1,832.69	$2,450.67
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,078.00 / $1,760.01 / $2,474.67	Professional		$1,078.00	$1,760.01	$2,474.67
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $849.00 / $1,494.00 / $2,055.92	Professional		$849.00	$1,494.00	$2,055.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $893.85 / $1,593.48 / $2,530.21	Professional		$893.85	$1,593.48	$2,530.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $995.90 / $1,171.59 / $1,521.50	Professional		$995.90	$1,171.59	$1,521.50