Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,939.70 / $1,939.70 / $2,026.83	Facility		$1,939.70	$1,939.70	$2,026.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $374.20 / $461.88 / $614.33	Professional		$374.20	$461.88	$614.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $516.42 / $984.74 / $1,230.92	Professional		$516.42	$984.74	$1,230.92
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $462.56 / $623.45 / $2,211.48	Professional		$462.56	$623.45	$2,211.48
Medica Facility/Professional Facility Modifier Low / Median / High Price $442.87 / $645.04 / $1,163.94	Facility		$442.87	$645.04	$1,163.94
Medica Facility/Professional Professional Modifier Low / Median / High Price $524.47 / $1,017.01 / $2,826.03	Professional		$524.47	$1,017.01	$2,826.03
Midlands Facility/Professional Facility Modifier Low / Median / High Price $834.83 / $951.79 / $1,245.60	Facility		$834.83	$951.79	$1,245.60
Midlands Facility/Professional Professional Modifier Low / Median / High Price $834.83 / $951.79 / $1,187.70	Professional		$834.83	$951.79	$1,187.70
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $621.90 / $979.89 / $1,060.90	Professional		$621.90	$979.89	$1,060.90
United Facility/Professional Professional Modifier Low / Median / High Price $520.26 / $729.70 / $1,240.48	Professional		$520.26	$729.70	$1,240.48
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $246.01 / $311.39 / $311.39	Professional		$246.01	$311.39	$311.39