Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $5,370.32 / $7,943.28	Facility		$1,258.93	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $2,398.83	Professional		$794.33	$1,047.13	$2,398.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,454.71	Professional		$1,949.84	$1,995.26	$2,454.71
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,548.82 / $3,388.44	Professional		$870.96	$1,548.82	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $7,079.46	Facility		$1,230.27	$2,137.96	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $6,456.54	Professional		$1,000.00	$1,778.28	$6,456.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $1,995.26 / $2,951.21	Professional		$1,949.84	$1,995.26	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,398.83 / $2,398.83	Professional		$1,778.28	$2,398.83	$2,398.83
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $1,778.28 / $2,238.72	Professional		$12.02	$1,778.28	$2,238.72
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 $933.25 / $1,412.54 / $2,754.23	Professional		$933.25	$1,412.54	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,949.84	Professional		$1,659.59	$1,659.59	$1,949.84