Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $906.22 / $1,635.40 / $2,287.56	Facility		$906.22	$1,635.40	$2,287.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $647.29 / $647.29 / $815.43	Professional		$647.29	$647.29	$815.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $966.01 / $1,526.90 / $1,908.62	Professional		$966.01	$1,526.90	$1,908.62
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $714.55 / $1,197.36 / $1,471.14	Professional		$714.55	$1,197.36	$1,471.14
Medica Facility/Professional Facility Modifier Low / Median / High Price $840.65 / $1,092.84 / $3,993.09	Facility		$840.65	$1,092.84	$3,993.09
Medica Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $840.65 / $2,263.76	Professional		$354.37	$840.65	$2,263.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,008.78 / $1,173.83 / $1,842.36	Facility		$1,008.78	$1,173.83	$1,842.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $962.69 / $1,173.83 / $2,143.66	Professional		$962.69	$1,173.83	$2,143.66
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $840.65 / $840.65 / $1,500.56	Professional		$840.65	$840.65	$1,500.56
United Facility/Professional Professional Modifier Low / Median / High Price $354.37 / $504.39 / $1,832.62	Professional		$354.37	$504.39	$1,832.62
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $664.11 / $840.65 / $840.65	Professional		$664.11	$840.65	$840.65