Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $985.29 / $1,778.10 / $2,487.16	Facility		$985.29	$1,778.10	$2,487.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $703.78 / $703.78 / $886.58	Professional		$703.78	$703.78	$886.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,050.26 / $1,660.07 / $2,075.09	Professional		$1,050.26	$1,660.07	$2,075.09
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.90 / $1,508.10 / $3,305.40	Professional		$776.90	$1,508.10	$3,305.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $914.00 / $1,188.20 / $3,595.75	Facility		$914.00	$1,188.20	$3,595.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $548.40 / $914.00 / $2,949.57	Professional		$548.40	$914.00	$2,949.57
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,097.70 / $1,675.91 / $2,655.11	Facility		$1,097.70	$1,675.91	$2,655.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,096.80 / $1,675.91 / $2,385.54	Professional		$1,096.80	$1,675.91	$2,385.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $914.00 / $914.00 / $1,631.49	Professional		$914.00	$914.00	$1,631.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,371.00 / $1,371.00 / $1,371.00	Facility		$1,371.00	$1,371.00	$1,371.00
United Facility/Professional Professional Modifier Low / Median / High Price $548.40 / $548.40 / $2,102.19	Professional		$548.40	$548.40	$2,102.19
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $722.06 / $914.00 / $914.00	Professional		$722.06	$914.00	$914.00