Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,620.11 / $1,620.11 / $1,711.42	Facility		$1,620.11	$1,620.11	$1,711.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.48 / $460.48 / $477.75	Professional		$460.48	$460.48	$477.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $508.43 / $522.75 / $653.44	Professional		$508.43	$522.75	$653.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $934.17 / $1,094.24 / $1,231.33	Professional		$934.17	$1,094.24	$1,231.33
Medica Facility/Professional Facility Modifier Low / Median / High Price $460.48 / $548.91 / $778.21	Facility		$460.48	$548.91	$778.21
Medica Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $592.87 / $736.77	Professional		$575.60	$592.87	$736.77
Midlands Facility/Professional Facility Modifier Low / Median / High Price $645.84 / $793.29 / $1,242.82	Facility		$645.84	$793.29	$1,242.82
Midlands Facility/Professional Professional Modifier Low / Median / High Price $548.09 / $603.90 / $662.97	Professional		$548.09	$603.90	$662.97
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $484.91 / $774.64 / $1,089.81	Professional		$484.91	$774.64	$1,089.81
United Facility/Professional Professional Modifier Low / Median / High Price $575.60 / $592.87 / $684.96	Professional		$575.60	$592.87	$684.96
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $528.86 / $528.86 / $528.86	Facility		$528.86	$528.86	$528.86
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $417.80 / $528.86 / $528.86	Professional		$417.80	$528.86	$528.86