Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,056.76 / $2,056.76 / $2,434.92	Facility		$2,056.76	$2,056.76	$2,434.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,645.41 / $1,645.41 / $2,056.76	Professional		$1,645.41	$1,645.41	$2,056.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $1,748.25 / $4,363.63	Professional		$352.22	$1,748.25	$4,363.63
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $2,333.92 / $2,383.15	Professional		$150.00	$2,333.92	$2,383.15
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,040.32 / $2,056.76 / $4,363.63	Facility		$1,040.32	$2,056.76	$4,363.63
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $3,095.09	Professional		$1,713.97	$1,713.97	$3,095.09
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,560.48 / $2,175.15 / $3,818.11	Facility		$1,560.48	$2,175.15	$3,818.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $400.25 / $2,694.22 / $4,156.47	Professional		$400.25	$2,694.22	$4,156.47
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,065.02 / $3,251.18 / $3,666.93	Professional		$2,065.02	$3,251.18	$3,666.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,713.97 / $1,713.97 / $1,885.37	Professional		$1,713.97	$1,713.97	$1,885.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,354.04 / $1,713.97 / $1,713.97	Professional		$1,354.04	$1,713.97	$1,713.97