Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $5,248.07 / $7,943.28	Facility		$1,698.24	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,884.03	Professional		$977.24	$1,230.27	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,090.30	Professional		$1,995.26	$2,511.89	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,467.37	Professional		$1,023.29	$1,548.82	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $2,884.03 / $31,622.78	Facility		$1,698.24	$2,884.03	$31,622.78
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,137.96 / $7,943.28	Professional		$1,096.48	$2,137.96	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,511.89 / $2,951.21	Professional		$2,187.76	$2,511.89	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,137.96 / $2,951.21	Professional		$2,089.30	$2,137.96	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,819.70 / $2,398.83	Professional		$1,023.29	$1,819.70	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $8,511.38 / $13,489.63 / $34,673.69	Facility		$8,511.38	$13,489.63	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,548.82 / $3,019.95	Professional		$1,047.13	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,511.89	Professional		$1,698.24	$2,137.96	$2,511.89