Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.90 / $2,042.68 / $2,857.24	Facility		$1,131.90	$2,042.68	$2,857.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $808.50 / $808.50 / $1,018.50	Professional		$808.50	$808.50	$1,018.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,206.36 / $1,906.83 / $2,383.54	Professional		$1,206.36	$1,906.83	$2,383.54
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $892.50 / $1,365.00 / $1,837.50	Professional		$892.50	$1,365.00	$1,837.50
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $1,365.00 / $4,987.50	Facility		$1,050.00	$1,365.00	$4,987.50
Medica Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $1,050.00 / $3,363.77	Professional		$625.41	$1,050.00	$3,363.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,261.05 / $1,925.29 / $2,301.17	Facility		$1,261.05	$1,925.29	$2,301.17
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,260.00 / $1,890.00 / $2,677.50	Professional		$1,260.00	$1,890.00	$2,677.50
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,050.00 / $1,050.00 / $1,874.25	Professional		$1,050.00	$1,050.00	$1,874.25
United Facility/Professional Professional Modifier Low / Median / High Price $625.41 / $630.00 / $2,415.00	Professional		$625.41	$630.00	$2,415.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $829.50 / $1,050.00 / $1,050.00	Professional		$829.50	$1,050.00	$1,050.00