Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,089.57 / $1,089.57 / $1,089.57	Facility		$1,089.57	$1,089.57	$1,089.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $573.46 / $573.46 / $933.44	Professional		$573.46	$573.46	$933.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $932.25 / $932.25 / $1,165.31	Professional		$932.25	$932.25	$1,165.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,374.00 / $1,374.00 / $1,374.00	Professional		$1,374.00	$1,374.00	$1,374.00
Medica Facility/Professional Facility Modifier Low / Median / High Price $734.88 / $3,773.67 / $3,773.67	Facility		$734.88	$3,773.67	$3,773.67
Medica Facility/Professional Professional Modifier Low / Median / High Price $525.48 / $660.11 / $965.49	Professional		$525.48	$660.11	$965.49
Midlands Facility/Professional Professional Modifier Low / Median / High Price $956.29 / $992.12 / $992.12	Professional		$956.29	$992.12	$992.12
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $758.38 / $758.38 / $758.38	Facility		$758.38	$758.38	$758.38
United Facility/Professional Professional Modifier Low / Median / High Price $525.48 / $660.11 / $944.40	Professional		$525.48	$660.11	$944.40
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,065.00 / $1,065.00 / $1,065.00	Facility		$1,065.00	$1,065.00	$1,065.00
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,065.00 / $1,065.00 / $1,065.00	Professional		$1,065.00	$1,065.00	$1,065.00