Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $5,370.32 / $7,943.28	Facility		$1,230.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,023.29 / $2,137.96	Professional		$707.95	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $1,905.46 / $2,187.76	Professional		$1,737.80	$1,905.46	$2,187.76
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,230.27 / $2,951.21	Professional		$776.25	$1,230.27	$2,951.21
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $7,244.36	Facility		$1,230.27	$2,187.76	$7,244.36
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,698.24 / $3,162.28	Professional		$1,000.00	$1,698.24	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $1,949.84 / $3,388.44	Professional		$1,698.24	$1,949.84	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Professional		$2,187.76	$2,187.76	$2,187.76
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,445.44 / $1,905.46	Professional		$812.83	$1,445.44	$1,905.46
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 $891.25 / $1,380.38 / $2,570.40	Professional		$891.25	$1,380.38	$2,570.40
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,621.81 / $1,905.46	Professional		$1,258.93	$1,621.81	$1,905.46