Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $7,943.28	Facility		$1,584.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,318.26 / $2,818.38	Professional		$933.25	$1,318.26	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $2,884.03	Professional		$2,290.87	$2,511.89	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $3,311.31	Professional		$977.24	$1,659.59	$3,311.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $2,691.53 / $7,244.36	Facility		$1,862.09	$2,691.53	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $3,548.13	Professional		$1,174.90	$2,089.30	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,511.89 / $3,548.13	Professional		$2,290.87	$2,511.89	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,818.38	Professional		$2,089.30	$2,089.30	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $2,570.40	Professional		$1,071.52	$1,905.46	$2,570.40
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 $1,096.48 / $1,621.81 / $3,235.94	Professional		$1,096.48	$1,621.81	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,137.96 / $2,511.89	Professional		$1,659.59	$2,137.96	$2,511.89