Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $7,943.28	Facility		$1,621.81	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,318.26 / $3,019.95	Professional		$1,000.00	$1,318.26	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,511.89 / $3,090.30	Professional		$2,454.71	$2,511.89	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,905.46 / $4,168.69	Professional		$1,096.48	$1,905.46	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,570.40 / $7,079.46	Facility		$1,479.11	$2,570.40	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $8,128.31	Professional		$1,288.25	$2,238.72	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,388.44	Professional		$2,238.72	$2,511.89	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,019.95 / $3,019.95	Professional		$2,238.72	$3,019.95	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,238.72 / $2,818.38	Professional		$15.14	$2,238.72	$2,818.38
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 $1,174.90 / $1,737.80 / $3,388.44	Professional		$1,174.90	$1,737.80	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Professional		$2,089.30	$2,089.30	$2,454.71