Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,884.03 / $4,365.16	Facility		$954.99	$2,884.03	$4,365.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $977.24 / $3,162.28	Professional		$588.84	$977.24	$3,162.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,041.74	Facility		$1,949.84	$1,995.26	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,513.56 / $1,905.46	Professional		$1,380.38	$1,513.56	$1,905.46
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $3,090.30	Professional		$602.56	$933.25	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,445.44 / $1,698.24	Facility		$954.99	$1,445.44	$1,698.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,570.40	Professional		$691.83	$1,122.02	$2,570.40
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,445.44 / $2,630.27	Professional		$1,288.25	$1,445.44	$2,630.27
Midlands Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,041.74	Facility		$2,041.74	$2,041.74	$2,041.74
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,698.24	Professional		$1,513.56	$1,513.56	$1,698.24
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $707.95 / $1,380.38	Professional		$645.65	$707.95	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $812.83 / $1,412.54	Professional		$691.83	$812.83	$1,412.54
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $1,412.54	Professional		$954.99	$1,202.26	$1,412.54