Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.48 / $1,739.10 / $1,739.10	Facility		$1,478.48	$1,739.10	$1,739.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.01 / $635.32 / $778.15	Professional		$468.01	$635.32	$778.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $619.71 / $1,336.48 / $1,670.60	Professional		$619.71	$1,336.48	$1,670.60
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $627.54 / $845.82 / $2,230.41	Professional		$627.54	$845.82	$2,230.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $582.50 / $871.53 / $1,495.03	Facility		$582.50	$871.53	$1,495.03
Medica Facility/Professional Professional Modifier Low / Median / High Price $658.80 / $1,256.99 / $3,792.87	Professional		$658.80	$1,256.99	$3,792.87
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,151.99 / $1,195.33 / $1,525.56	Facility		$1,151.99	$1,195.33	$1,525.56
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,151.99 / $1,200.01 / $1,525.56	Professional		$1,151.99	$1,200.01	$1,525.56
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $777.30 / $1,068.25 / $1,156.33	Professional		$777.30	$1,068.25	$1,156.33
United Facility/Professional Facility Modifier Low / Median / High Price $683.71 / $1,118.69 / $1,362.66	Facility		$683.71	$1,118.69	$1,362.66
United Facility/Professional Professional Modifier Low / Median / High Price $636.64 / $1,104.99 / $1,505.79	Professional		$636.64	$1,104.99	$1,505.79
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $419.17 / $530.60 / $530.60	Professional		$419.17	$530.60	$530.60