Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,155.00 / $1,189.65 / $6,692.40	Facility		$1,155.00	$1,189.65	$6,692.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $924.00 / $924.00 / $1,155.00	Professional		$924.00	$924.00	$1,155.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $959.66 / $981.75 / $1,199.58	Professional		$959.66	$981.75	$1,199.58
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $1,986.02 / $2,149.69	Professional		$150.00	$1,986.02	$2,149.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $595.10 / $1,110.92 / $1,422.96	Facility		$595.10	$1,110.92	$1,422.96
Medica Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,318.63	Professional		$962.50	$962.50	$1,318.63
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,439.06 / $1,678.90 / $2,254.52	Facility		$1,439.06	$1,678.90	$2,254.52
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,110.92 / $1,110.92 / $1,110.92	Professional		$1,110.92	$1,110.92	$1,110.92
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,181.27 / $2,883.24 / $3,251.23	Professional		$1,181.27	$2,883.24	$3,251.23
United Facility/Professional Professional Modifier Low / Median / High Price $962.50 / $962.50 / $1,058.75	Professional		$962.50	$962.50	$1,058.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $760.38 / $962.50 / $962.50	Professional		$760.38	$962.50	$962.50