Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $5,370.32 / $7,943.28	Facility		$1,445.44	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,230.27 / $2,570.40	Professional		$851.14	$1,230.27	$2,570.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,344.23 / $2,630.27	Professional		$2,089.30	$2,344.23	$2,630.27
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $3,715.35	Professional		$912.01	$1,621.81	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,454.71 / $7,244.36	Facility		$1,584.89	$2,454.71	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,089.30 / $3,467.37	Professional		$1,096.48	$2,089.30	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,344.23 / $3,548.13	Professional		$2,137.96	$2,344.23	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,630.27	Professional		$1,819.70	$1,819.70	$2,630.27
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,778.28 / $2,344.23	Professional		$1,000.00	$1,778.28	$2,344.23
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 / $1,548.82 / $3,019.95	Professional		$1,023.29	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,290.87	Professional		$1,548.82	$1,949.84	$2,290.87