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 $891.25 / $1,071.52 / $2,454.71	Professional		$891.25	$1,071.52	$2,454.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $2,754.23	Professional		$1,047.13	$2,187.76	$2,754.23
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,737.80 / $3,715.35	Professional		$912.01	$1,737.80	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $3,467.37	Facility		$1,000.00	$1,819.70	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $7,244.36	Professional		$1,047.13	$1,862.09	$7,244.36
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,238.72 / $2,691.53	Professional		$1,862.09	$2,238.72	$2,691.53
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,089.30 / $2,691.53	Professional		$1,737.80	$2,089.30	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,949.84 / $2,511.89	Professional		$15.14	$1,949.84	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,897.79 / $7,413.10	Facility		$1,318.26	$4,897.79	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,691.53	Professional		$1,000.00	$1,445.44	$2,691.53
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,949.84 / $2,290.87	Professional		$1,513.56	$1,949.84	$2,290.87