Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $2,539.46 / $3,552.13	Facility		$1,305.36	$2,539.46	$3,552.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,135.67 / $1,135.67 / $1,266.21	Professional		$1,135.67	$1,135.67	$1,266.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,362.00 / $1,566.44 / $1,702.50	Professional		$1,362.00	$1,566.44	$1,702.50
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,109.56 / $1,762.25 / $2,362.71	Professional		$1,109.56	$1,762.25	$2,362.71
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,305.36 / $1,684.49 / $3,341.75	Facility		$1,305.36	$1,684.49	$3,341.75
Medica Facility/Professional Professional Modifier Low / Median / High Price $783.22 / $809.33 / $4,212.56	Professional		$783.22	$809.33	$4,212.56
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,566.44 / $1,827.52 / $2,689.06	Facility		$1,566.44	$1,827.52	$2,689.06
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,566.44 / $1,788.36 / $2,689.06	Professional		$1,566.44	$1,788.36	$2,689.06
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,270.13 / $1,305.36 / $2,330.09	Professional		$1,270.13	$1,305.36	$2,330.09
United Facility/Professional Professional Modifier Low / Median / High Price $783.22 / $783.22 / $2,672.75	Professional		$783.22	$783.22	$2,672.75
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,305.36 / $1,305.36 / $1,305.36	Professional		$1,305.36	$1,305.36	$1,305.36