Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,202.26 / $2,511.89	Professional		$1,023.29	$1,202.26	$2,511.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $2,511.89 / $3,162.28	Professional		$1,023.29	$2,511.89	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,905.46 / $5,011.87	Professional		$1,023.29	$1,905.46	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,041.74 / $4,168.69	Facility		$1,071.52	$2,041.74	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $9,332.54	Professional		$1,148.15	$2,041.74	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,511.89 / $2,951.21	Professional		$2,041.74	$2,511.89	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $2,951.21	Professional		$2,041.74	$2,187.76	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,137.96 / $2,754.23	Professional		$6.03	$2,137.96	$2,754.23
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 $1,096.48 / $1,621.81 / $3,019.95	Professional		$1,096.48	$1,621.81	$3,019.95
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