Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,981.07 / $6,760.83	Facility		$1,584.89	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $2,691.53	Professional		$1,000.00	$1,288.25	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,162.28	Professional		$2,137.96	$2,511.89	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $3,090.30	Professional		$954.99	$1,659.59	$3,090.30
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $4,365.16 / $16,218.10	Facility		$1,288.25	$4,365.16	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $7,943.28	Professional		$1,000.00	$1,819.70	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,187.76 / $3,162.28	Professional		$2,089.30	$2,187.76	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,951.21 / $2,951.21	Professional		$1,737.80	$2,951.21	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $1,819.70 / $2,951.21	Professional		$5.01	$1,819.70	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $7,079.46 / $15,488.17	Facility		$4,365.16	$7,079.46	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,548.82 / $3,019.95	Professional		$1,023.29	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23