Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $5,370.32 / $7,943.28	Facility		$2,041.74	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,659.59 / $3,801.89	Professional		$1,258.93	$1,659.59	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $3,890.45	Professional		$3,090.30	$3,388.44	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,570.40 / $5,370.32	Professional		$1,380.38	$2,570.40	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,388.44 / $7,079.46	Facility		$2,041.74	$3,388.44	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $10,232.93	Professional		$1,621.81	$2,951.21	$10,232.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,388.44 / $5,248.07	Professional		$3,090.30	$3,388.44	$5,248.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,801.89 / $3,801.89	Professional		$2,818.38	$3,801.89	$3,801.89
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $2,818.38 / $3,548.13	Professional		$16.98	$2,818.38	$3,548.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $4,365.16	Professional		$1,479.11	$2,344.23	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $3,090.30	Professional		$2,630.27	$2,630.27	$3,090.30