Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,239.83 / $5,167.80 / $7,470.28	Facility		$1,239.83	$5,167.80	$7,470.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.87 / $1,029.07 / $1,239.83	Professional		$991.87	$1,029.07	$1,239.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,556.12 / $1,958.90 / $2,178.56	Facility		$1,556.12	$1,958.90	$2,178.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,053.85 / $1,291.88 / $1,614.84	Professional		$1,053.85	$1,291.88	$1,614.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $951.21 / $1,808.11 / $2,275.69	Professional		$951.21	$1,808.11	$2,275.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $991.87 / $1,296.86 / $2,082.53	Facility		$991.87	$1,296.86	$2,082.53
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $2,066.40	Professional		$1,033.20	$1,033.20	$2,066.40
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,556.12 / $1,815.47 / $2,093.69	Facility		$1,556.12	$1,815.47	$2,093.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,128.93 / $1,128.93 / $1,128.93	Professional		$1,128.93	$1,128.93	$1,128.93
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,015.42 / $2,308.34 / $2,604.26	Professional		$1,015.42	$2,308.34	$2,604.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,033.20 / $1,033.20 / $1,274.97	Professional		$1,033.20	$1,033.20	$1,274.97
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $816.23 / $1,033.20 / $1,033.20	Professional		$816.23	$1,033.20	$1,033.20