Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility		$1,380.38	$1,380.38	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $2,290.87	Professional		$707.95	$977.24	$2,290.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,584.89 / $2,630.27	Professional		$851.14	$1,584.89	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $3,801.89	Professional		$933.25	$1,737.80	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,238.72	Facility		$954.99	$1,513.56	$2,238.72
Medica Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,584.89 / $6,760.83	Professional		$870.96	$1,584.89	$6,760.83
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,905.46 / $2,691.53	Professional		$1,412.54	$1,905.46	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $2,691.53	Professional		$1,348.96	$1,659.59	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,862.09 / $2,398.83	Professional		$1,023.29	$1,862.09	$2,398.83
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,258.93 / $2,137.96	Professional		$831.76	$1,258.93	$2,137.96
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,819.70 / $2,137.96	Professional		$1,445.44	$1,819.70	$2,137.96