Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,079.46	Facility		$1,737.80	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,174.90 / $2,754.23	Professional		$1,000.00	$1,174.90	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,162.28	Professional		$2,041.74	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,584.89 / $5,495.41	Professional		$1,023.29	$1,584.89	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $8,511.38	Facility		$1,412.54	$2,511.89	$8,511.38
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,187.76 / $8,709.64	Professional		$1,122.02	$2,187.76	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,019.95	Professional		$2,238.72	$2,511.89	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $3,019.95	Professional		$2,137.96	$2,187.76	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $2,454.71	Professional		$1,047.13	$1,862.09	$2,454.71
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 $1,071.52 / $1,584.89 / $3,090.30	Professional		$1,071.52	$1,584.89	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,187.76 / $2,570.40	Professional		$1,698.24	$2,187.76	$2,570.40