Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,248.07 / $7,943.28	Facility		$1,862.09	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,513.56 / $3,162.28	Professional		$1,174.90	$1,513.56	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,630.78	Professional		$2,754.23	$2,951.21	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $4,570.88	Professional		$1,230.27	$2,089.30	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,388.44 / $8,912.51	Facility		$1,862.09	$3,388.44	$8,912.51
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,454.71 / $9,332.54	Professional		$1,445.44	$2,454.71	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,981.07	Professional		$2,630.27	$2,951.21	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $3,388.44	Professional		$2,454.71	$3,388.44	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,754.23 / $3,235.94	Professional		$1,862.09	$2,754.23	$3,235.94
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,309.57 / $8,912.51	Facility		$4,365.16	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,949.84 / $3,715.35	Professional		$1,318.26	$1,949.84	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,754.23	Professional		$2,290.87	$2,290.87	$2,754.23