Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $7,943.28	Facility		$1,380.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $2,630.27	Professional		$870.96	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,691.53	Professional		$2,137.96	$2,187.76	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $4,168.69	Professional		$954.99	$1,659.59	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,344.23 / $7,079.46	Facility		$1,412.54	$2,344.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $7,244.36	Professional		$1,122.02	$1,949.84	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,090.30	Professional		$2,041.74	$2,187.76	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $2,630.27	Professional		$1,949.84	$2,630.27	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $2,398.83	Professional		$1,000.00	$1,862.09	$2,398.83
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 $1,023.29 / $1,513.56 / $2,951.21	Professional		$1,023.29	$1,513.56	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96