Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,455.51 / $2,626.68 / $3,674.12	Facility		$1,455.51	$2,626.68	$3,674.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,039.65 / $1,039.65 / $1,309.68	Professional		$1,039.65	$1,039.65	$1,309.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,551.64 / $2,452.57 / $3,065.71	Professional		$1,551.64	$2,452.57	$3,065.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,147.66 / $2,025.29 / $2,502.10	Professional		$1,147.66	$2,025.29	$2,502.10
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,039.65 / $1,742.33 / $5,299.97	Facility		$1,039.65	$1,742.33	$5,299.97
Medica Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $1,350.19 / $4,357.20	Professional		$810.11	$1,350.19	$4,357.20
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,621.57 / $2,475.71 / $3,456.49	Facility		$1,621.57	$2,475.71	$3,456.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,620.23 / $2,475.71 / $3,442.98	Professional		$1,620.23	$2,475.71	$3,442.98
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,350.19 / $1,350.19 / $2,410.09	Professional		$1,350.19	$1,350.19	$2,410.09
United Facility/Professional Professional Modifier Low / Median / High Price $810.11 / $810.11 / $2,943.41	Professional		$810.11	$810.11	$2,943.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,066.65 / $1,350.19 / $1,350.19	Professional		$1,066.65	$1,350.19	$1,350.19