Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.01 / $1,820.90 / $2,547.02	Facility		$1,009.01	$1,820.90	$2,547.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.72 / $720.72 / $907.92	Professional		$720.72	$720.72	$907.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,075.86 / $1,700.54 / $2,125.67	Professional		$1,075.86	$1,700.54	$2,125.67
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $795.60 / $1,221.35 / $1,638.00	Professional		$795.60	$1,221.35	$1,638.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $720.72 / $1,207.84 / $3,674.12	Facility		$720.72	$1,207.84	$3,674.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $936.00 / $3,020.57	Professional		$561.60	$936.00	$3,020.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,124.11 / $1,716.25 / $2,396.16	Facility		$1,124.11	$1,716.25	$2,396.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,123.20 / $1,716.25 / $2,386.80	Professional		$1,123.20	$1,716.25	$2,386.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $936.00 / $936.00 / $1,670.76	Professional		$936.00	$936.00	$1,670.76
United Facility/Professional Professional Modifier Low / Median / High Price $561.60 / $561.60 / $2,367.14	Professional		$561.60	$561.60	$2,367.14
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $739.44 / $936.00 / $936.00	Professional		$739.44	$936.00	$936.00