Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.84 / $1,517.42 / $2,122.52	Facility		$840.84	$1,517.42	$2,122.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.79 / $678.60 / $756.60	Professional		$514.79	$678.60	$756.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $936.77 / $1,416.58 / $1,770.72	Professional		$936.77	$1,416.58	$1,770.72
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $663.00 / $874.50 / $1,365.00	Professional		$663.00	$874.50	$1,365.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $780.00 / $1,006.54 / $1,794.00	Facility		$780.00	$1,006.54	$1,794.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $780.00 / $3,061.78	Professional		$468.00	$780.00	$3,061.78
Midlands Facility/Professional Facility Modifier Low / Median / High Price $936.00 / $1,430.20 / $1,733.38	Facility		$936.00	$1,430.20	$1,733.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $1,430.20 / $1,989.00	Professional		$936.00	$1,430.20	$1,989.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $1,392.30	Professional		$780.00	$780.00	$1,392.30
United Facility/Professional Professional Modifier Low / Median / High Price $468.00 / $468.00 / $1,700.40	Professional		$468.00	$468.00	$1,700.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $780.00 / $780.00 / $780.00	Professional		$780.00	$780.00	$780.00