Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,981.07 / $6,760.83	Facility		$1,905.46	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,548.82 / $3,090.30	Professional		$1,122.02	$1,548.82	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,548.13	Professional		$2,238.72	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $5,495.41	Professional		$1,122.02	$1,698.24	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,235.94 / $32,359.37	Facility		$1,737.80	$3,235.94	$32,359.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,398.83 / $9,332.54	Professional		$1,230.27	$2,398.83	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,019.95 / $3,311.31	Professional		$2,454.71	$3,019.95	$3,311.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,398.83 / $3,311.31	Professional		$2,344.23	$2,398.83	$3,311.31
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $2,691.53	Professional		$1,174.90	$2,041.74	$2,691.53
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 $1,174.90 / $1,737.80 / $3,388.44	Professional		$1,174.90	$1,737.80	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,398.83 / $2,818.38	Professional		$1,905.46	$2,398.83	$2,818.38