Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,410.00 / $4,410.00 / $4,410.00	Facility		$4,410.00	$4,410.00	$4,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $742.29 / $929.00 / $1,120.81	Professional		$742.29	$929.00	$1,120.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,032.84 / $1,758.71 / $2,198.39	Professional		$1,032.84	$1,758.71	$2,198.39
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $825.24 / $1,112.22 / $3,541.21	Professional		$825.24	$1,112.22	$3,541.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $807.96 / $1,132.02 / $2,151.32	Facility		$807.96	$1,132.02	$2,151.32
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,032.84 / $1,939.54 / $5,462.08	Professional		$1,032.84	$1,939.54	$5,462.08
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,309.17 / $1,732.82 / $2,195.25	Facility		$1,309.17	$1,732.82	$2,195.25
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,309.17 / $1,732.82 / $2,195.25	Professional		$1,309.17	$1,732.82	$2,195.25
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,243.80 / $2,660.83 / $2,880.62	Professional		$1,243.80	$2,660.83	$2,880.62
United Facility/Professional Professional Modifier Low / Median / High Price $935.69 / $1,582.17 / $2,313.71	Professional		$935.69	$1,582.17	$2,313.71
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $530.60 / $530.60	Professional		$419.17	$530.60	$530.60