Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,235.94 / $6,760.83	Facility		$1,621.81	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,096.48 / $2,691.53	Professional		$933.25	$1,096.48	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,344.23 / $2,951.21	Professional		$2,290.87	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,737.80 / $3,801.89	Professional		$977.24	$1,737.80	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $7,413.10	Facility		$1,318.26	$2,754.23	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $3,311.31	Professional		$1,202.26	$2,041.74	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,388.44	Professional		$1,995.26	$2,344.23	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,630.27 / $2,818.38	Professional		$2,041.74	$2,630.27	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $2,691.53	Professional		$1,445.44	$2,238.72	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $7,762.47	Facility		$3,162.28	$5,370.32	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,698.24 / $3,162.28	Professional		$1,096.48	$1,698.24	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,041.74 / $2,398.83	Professional		$2,041.74	$2,041.74	$2,398.83