Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,370.32 / $7,943.28	Facility		$2,344.23	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,548.13	Professional		$1,318.26	$1,584.89	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $3,162.28 / $3,890.45	Professional		$1,348.96	$3,162.28	$3,890.45
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,454.71 / $5,495.41	Professional		$1,318.26	$2,454.71	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,344.23 / $4,168.69	Facility		$1,380.38	$2,344.23	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $10,471.29	Professional		$1,445.44	$2,630.27	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,311.31 / $3,890.45	Professional		$2,290.87	$3,311.31	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,951.21 / $3,890.45	Professional		$1,819.70	$2,951.21	$3,890.45
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,884.03 / $3,630.78	Professional		$15.14	$2,884.03	$3,630.78
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 $1,412.54 / $2,089.30 / $3,890.45	Professional		$1,412.54	$2,089.30	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,818.38 / $3,311.31	Professional		$2,187.76	$2,818.38	$3,311.31