Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.48 / $2,256.67 / $3,156.57	Facility		$1,250.48	$2,256.67	$3,156.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.60 / $893.20 / $1,125.20	Professional		$765.60	$893.20	$1,125.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,393.15 / $2,175.78 / $2,719.73	Professional		$1,393.15	$2,175.78	$2,719.73
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.73 / $1,948.88 / $2,168.27	Professional		$1,317.73	$1,948.88	$2,168.27
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,197.94 / $1,437.53 / $2,969.60	Facility		$1,197.94	$1,437.53	$2,969.60
Medica Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $719.20 / $4,656.47	Professional		$696.00	$719.20	$4,656.47
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,437.53 / $1,569.30 / $2,547.12	Facility		$1,437.53	$1,569.30	$2,547.12
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,393.15 / $1,557.32 / $2,389.60	Professional		$1,393.15	$1,557.32	$2,389.60
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,197.94 / $2,138.32	Professional		$1,197.94	$1,197.94	$2,138.32
United Facility/Professional Professional Modifier Low / Median / High Price $696.00 / $696.00 / $2,375.10	Professional		$696.00	$696.00	$2,375.10
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,197.94 / $1,197.94 / $1,197.94	Professional		$1,197.94	$1,197.94	$1,197.94