Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,786.30 / $7,079.46	Facility		$1,862.09	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,258.93 / $2,951.21	Professional		$1,047.13	$1,258.93	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,691.53 / $3,388.44	Professional		$2,137.96	$2,691.53	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $3,548.13	Professional		$1,047.13	$1,621.81	$3,548.13
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,884.03 / $8,912.51	Facility		$1,778.28	$2,884.03	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,238.72 / $8,709.64	Professional		$1,148.15	$2,238.72	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,818.38 / $3,235.94	Professional		$2,344.23	$2,818.38	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,238.72 / $3,235.94	Professional		$2,187.76	$2,238.72	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $2,630.27	Professional		$1,122.02	$1,995.26	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,585.78 / $10,232.93	Facility		$4,786.30	$7,585.78	$10,232.93
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,659.59 / $3,235.94	Professional		$1,122.02	$1,659.59	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,691.53	Professional		$1,819.70	$2,290.87	$2,691.53