Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.07 / $2,463.01 / $3,445.19	Facility		$1,266.07	$2,463.01	$3,445.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $835.61 / $1,101.48 / $1,228.08	Professional		$835.61	$1,101.48	$1,228.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,215.62 / $2,299.81 / $2,874.77	Professional		$2,215.62	$2,299.81	$2,874.77
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,076.16 / $1,709.19 / $2,291.59	Professional		$1,076.16	$1,709.19	$2,291.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,266.07 / $1,636.40 / $3,241.14	Facility		$1,266.07	$1,636.40	$3,241.14
Medica Facility/Professional Professional Modifier Low / Median / High Price $759.64 / $784.96 / $5,082.26	Professional		$759.64	$784.96	$5,082.26
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,519.28 / $1,772.50 / $2,543.54	Facility		$1,519.28	$1,772.50	$2,543.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,519.28 / $1,739.08 / $2,543.54	Professional		$1,519.28	$1,739.08	$2,543.54
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $2,259.92	Professional		$1,266.07	$1,266.07	$2,259.92
United Facility/Professional Professional Modifier Low / Median / High Price $759.64 / $759.64 / $2,760.03	Professional		$759.64	$759.64	$2,760.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,266.07 / $1,266.07 / $1,266.07	Professional		$1,266.07	$1,266.07	$1,266.07