Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.28 / $1,321.03 / $1,847.82	Facility		$1,035.28	$1,321.03	$1,847.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $522.87 / $522.87 / $658.68	Professional		$522.87	$522.87	$658.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $815.54 / $2,368.36 / $2,960.45	Professional		$815.54	$2,368.36	$2,960.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.35 / $2,151.52 / $3,270.03	Professional		$1,108.35	$2,151.52	$3,270.03
Medica Facility/Professional Facility Modifier Low / Median / High Price $805.22 / $1,564.74 / $6,102.49	Facility		$805.22	$1,564.74	$6,102.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $699.42 / $3,005.98	Professional		$407.43	$699.42	$3,005.98
Midlands Facility/Professional Facility Modifier Low / Median / High Price $876.26 / $1,564.74 / $1,878.65	Facility		$876.26	$1,564.74	$1,878.65
Midlands Facility/Professional Professional Modifier Low / Median / High Price $876.26 / $1,509.00 / $1,851.30	Professional		$876.26	$1,509.00	$1,851.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,303.95 / $1,303.95 / $2,327.55	Professional		$1,303.95	$1,303.95	$2,327.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,018.58 / $1,018.58 / $1,018.58	Facility		$1,018.58	$1,018.58	$1,018.58
United Facility/Professional Professional Modifier Low / Median / High Price $407.43 / $407.43 / $1,717.32	Professional		$407.43	$407.43	$1,717.32
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,030.11 / $1,303.95 / $1,303.95	Professional		$1,030.11	$1,303.95	$1,303.95