Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $991.34 / $1,187.79 / $1,616.91	Professional		$991.34	$1,187.79	$1,616.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,001.94 / $1,795.84 / $2,938.16	Professional		$1,001.94	$1,795.84	$2,938.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.60 / $1,670.51 / $4,814.16	Professional		$1,078.60	$1,670.51	$4,814.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,156.34 / $1,889.62 / $2,699.48	Facility		$1,156.34	$1,889.62	$2,699.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,048.90 / $1,907.85 / $8,114.99	Professional		$1,048.90	$1,907.85	$8,114.99
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,421.40 / $2,214.92 / $2,884.11	Facility		$1,421.40	$2,214.92	$2,884.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,370.60 / $2,172.54 / $2,884.11	Professional		$1,370.60	$2,172.54	$2,884.11
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,113.67 / $1,987.90 / $2,274.37	Professional		$1,113.67	$1,987.90	$2,274.37
United Facility/Professional Professional Modifier Low / Median / High Price $980.70 / $1,514.80 / $2,413.94	Professional		$980.70	$1,514.80	$2,413.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,684.44 / $2,132.19 / $2,608.80	Professional		$1,684.44	$2,132.19	$2,608.80