Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $2,955.20 / $4,133.64	Facility		$1,519.06	$2,955.20	$4,133.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,002.58 / $1,169.68 / $1,473.49	Professional		$1,002.58	$1,169.68	$1,473.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.38 / $2,758.73 / $3,448.42	Professional		$1,824.38	$2,758.73	$3,448.42
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,291.20 / $2,050.73 / $7,764.09	Professional		$1,291.20	$2,050.73	$7,764.09
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,519.06 / $1,960.24 / $3,888.79	Facility		$1,519.06	$1,960.24	$3,888.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $911.44 / $941.82 / $4,902.16	Professional		$911.44	$941.82	$4,902.16
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,822.87 / $2,126.67 / $3,129.26	Facility		$1,822.87	$2,126.67	$3,129.26
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,822.87 / $2,308.96 / $3,129.26	Professional		$1,822.87	$2,308.96	$3,129.26
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $2,711.52	Professional		$1,519.06	$1,519.06	$2,711.52
United Facility/Professional Professional Modifier Low / Median / High Price $911.44 / $911.44 / $3,110.28	Professional		$911.44	$911.44	$3,110.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,519.06 / $1,519.06 / $1,519.06	Professional		$1,519.06	$1,519.06	$1,519.06