Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $7,943.28	Facility		$1,819.70	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,230.27 / $2,691.53	Professional		$1,023.29	$1,230.27	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,398.83 / $3,019.95	Professional		$1,071.52	$2,398.83	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $4,265.80	Professional		$1,000.00	$1,862.09	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $2,187.76 / $4,677.35	Facility		$1,096.48	$2,187.76	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $7,943.28	Professional		$1,174.90	$2,041.74	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,511.89 / $2,951.21	Professional		$2,344.23	$2,511.89	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,238.72 / $3,019.95	Professional		$1,949.84	$2,238.72	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $2,344.23 / $2,754.23	Professional		$12.02	$2,344.23	$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 $1,148.15 / $1,778.28 / $3,162.28	Professional		$1,148.15	$1,778.28	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,511.89	Professional		$1,698.24	$2,137.96	$2,511.89