Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $7,943.28	Facility		$1,348.96	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,122.02 / $2,344.23	Professional		$870.96	$1,122.02	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,754.23	Professional		$2,041.74	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,479.11 / $3,311.31	Professional		$831.76	$1,479.11	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $4,570.88 / $16,218.10	Facility		$1,380.38	$4,570.88	$16,218.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $7,244.36	Professional		$1,000.00	$1,698.24	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,041.74 / $3,090.30	Professional		$1,995.26	$2,041.74	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,454.71 / $2,511.89	Professional		$1,778.28	$2,454.71	$2,511.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,862.09 / $2,454.71	Professional		$6.03	$1,862.09	$2,454.71
United Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $10,715.19 / $15,488.17	Facility		$7,413.10	$10,715.19	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $2,570.40	Professional		$912.01	$1,348.96	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $2,041.74	Professional		$1,737.80	$1,737.80	$2,041.74