Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,510.28 / $2,302.86	Facility		$846.27	$1,510.28	$2,302.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $558.54 / $736.25 / $820.88	Professional		$558.54	$736.25	$820.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,016.36 / $1,536.69 / $1,920.86	Professional		$1,016.36	$1,536.69	$1,920.86
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $930.90 / $1,480.97 / $1,835.04	Professional		$930.90	$1,480.97	$1,835.04
Medica Facility/Professional Facility Modifier Low / Median / High Price $846.27 / $1,092.05 / $2,148.00	Facility		$846.27	$1,092.05	$2,148.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $846.27 / $3,321.91	Professional		$507.76	$846.27	$3,321.91
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,015.52 / $1,551.72 / $1,880.65	Facility		$1,015.52	$1,551.72	$1,880.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,015.52 / $1,551.72 / $2,157.98	Professional		$1,015.52	$1,551.72	$2,157.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $1,510.59	Professional		$846.27	$846.27	$1,510.59
United Facility/Professional Professional Modifier Low / Median / High Price $507.76 / $507.76 / $2,731.00	Professional		$507.76	$507.76	$2,731.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $846.27	Professional		$846.27	$846.27	$846.27