Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.01 / $1,471.95 / $2,825.22	Facility		$923.01	$1,471.95	$2,825.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.79 / $1,155.27 / $1,486.96	Professional		$935.79	$1,155.27	$1,486.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,239.42 / $2,377.75 / $2,972.18	Professional		$1,239.42	$2,377.75	$2,972.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,081.50 / $1,503.48 / $3,820.41	Professional		$1,081.50	$1,503.48	$3,820.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,081.50 / $1,586.40 / $2,855.58	Facility		$1,081.50	$1,586.40	$2,855.58
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,347.92 / $2,554.15 / $7,248.35	Professional		$1,347.92	$2,554.15	$7,248.35
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,811.95 / $2,441.07 / $2,913.88	Facility		$1,811.95	$2,441.07	$2,913.88
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,811.95 / $2,441.07 / $2,913.88	Professional		$1,811.95	$2,441.07	$2,913.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,554.70 / $2,466.16 / $2,669.84	Professional		$1,554.70	$2,466.16	$2,669.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,289.31 / $2,221.05 / $3,188.11	Professional		$1,289.31	$2,221.05	$3,188.11
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $803.75 / $1,017.40 / $1,017.40	Professional		$803.75	$1,017.40	$1,017.40