Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $7,943.28	Facility		$2,398.83	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,548.13	Professional		$1,348.96	$1,659.59	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,162.28 / $3,981.07	Professional		$1,412.54	$3,162.28	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,570.40 / $5,495.41	Professional		$1,348.96	$2,570.40	$5,495.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,570.40 / $4,897.79	Facility		$1,445.44	$2,570.40	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $10,715.19	Professional		$1,548.82	$2,818.38	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,311.31 / $3,890.45	Professional		$2,818.38	$3,311.31	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $2,884.03 / $3,981.07	Professional		$2,818.38	$2,884.03	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,019.95 / $3,630.78	Professional		$2,884.03	$3,019.95	$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 $1,479.11 / $2,187.76 / $3,981.07	Professional		$1,479.11	$2,187.76	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31