Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,124.98 / $1,124.98 / $2,471.21	Facility		$1,124.98	$1,124.98	$2,471.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,028.55 / $1,067.11 / $2,975.51	Professional		$1,028.55	$1,067.11	$2,975.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $545.78 / $1,092.83 / $1,446.56	Professional		$545.78	$1,092.83	$1,446.56
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $1,847.01 / $2,732.59	Professional		$463.20	$1,847.01	$2,732.59
Medica Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $1,028.55 / $1,337.12	Facility		$508.87	$1,028.55	$1,337.12
Medica Facility/Professional Professional Modifier Low / Median / High Price $942.84 / $1,135.69 / $4,885.62	Professional		$942.84	$1,135.69	$4,885.62
Midlands Facility/Professional Facility Modifier Low / Median / High Price $459.00 / $545.78 / $1,286.75	Facility		$459.00	$545.78	$1,286.75
Midlands Facility/Professional Professional Modifier Low / Median / High Price $384.11 / $732.95 / $1,591.88	Professional		$384.11	$732.95	$1,591.88
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $27.40 / $563.29 / $764.60	Professional		$27.40	$563.29	$764.60
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.41 / $1,103.55 / $1,274.98	Professional		$1,071.41	$1,103.55	$1,274.98
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $1,071.41 / $1,071.41 / $1,071.41	Facility		$1,071.41	$1,071.41	$1,071.41
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $846.41 / $1,071.41 / $1,071.41	Professional		$846.41	$1,071.41	$1,071.41