Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.20 / $1,750.86 / $2,449.06	Facility		$970.20	$1,750.86	$2,449.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.60 / $693.00 / $1,235.97	Professional		$336.60	$693.00	$1,235.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,080.89 / $1,634.61 / $2,043.26	Professional		$1,080.89	$1,634.61	$2,043.26
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $990.00 / $1,575.00 / $1,894.57	Professional		$990.00	$1,575.00	$1,894.57
Medica Facility/Professional Facility Modifier Low / Median / High Price $855.00 / $1,080.89 / $2,070.00	Facility		$855.00	$1,080.89	$2,070.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $900.00 / $3,532.82	Professional		$540.00	$900.00	$3,532.82
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $1,650.23 / $2,000.05	Facility		$1,080.00	$1,650.23	$2,000.05
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,080.00 / $1,650.23 / $2,295.00	Professional		$1,080.00	$1,650.23	$2,295.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $1,606.50	Professional		$900.00	$900.00	$1,606.50
United Facility/Professional Professional Modifier Low / Median / High Price $540.00 / $540.00 / $1,962.00	Professional		$540.00	$540.00	$1,962.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $900.00 / $900.00 / $900.00	Professional		$900.00	$900.00	$900.00