Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.48 / $2,027.30 / $3,618.43	Facility		$1,186.48	$2,027.30	$3,618.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $917.13 / $1,023.89 / $1,889.90	Professional		$917.13	$1,023.89	$1,889.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,676.61 / $2,210.12 / $2,802.15	Professional		$1,676.61	$2,210.12	$2,802.15
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $887.97 / $1,365.24 / $4,402.46	Professional		$887.97	$1,365.24	$4,402.46
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,023.89 / $1,883.29 / $2,970.49	Facility		$1,023.89	$1,883.29	$2,970.49
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,311.60 / $2,189.41 / $6,397.70	Professional		$1,311.60	$2,189.41	$6,397.70
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,822.07 / $2,210.12 / $2,488.13	Facility		$1,822.07	$2,210.12	$2,488.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,650.12 / $2,133.41 / $2,620.10	Professional		$1,650.12	$2,133.41	$2,620.10
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $131.16 / $970.19 / $1,800.82	Professional		$131.16	$970.19	$1,800.82
United Facility/Professional Professional Modifier Low / Median / High Price $980.29 / $1,856.65 / $2,673.51	Professional		$980.29	$1,856.65	$2,673.51
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,628.27 / $2,061.10 / $2,424.90	Professional		$1,628.27	$2,061.10	$2,424.90