Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,445.44 / $3,235.94	Professional		$1,174.90	$1,445.44	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,951.21 / $3,630.78	Professional		$1,258.93	$2,951.21	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,238.72 / $4,897.79	Professional		$1,230.27	$2,238.72	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,981.07	Facility		$1,318.26	$2,344.23	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $9,549.93	Professional		$1,380.38	$2,454.71	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,951.21 / $3,548.13	Professional		$2,290.87	$2,951.21	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,630.27 / $3,630.78	Professional		$1,995.26	$2,630.27	$3,630.78
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,691.53 / $3,388.44	Professional		$1,737.80	$2,691.53	$3,388.44
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 $1,318.26 / $1,905.46 / $3,548.13	Professional		$1,318.26	$1,905.46	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,570.40 / $3,019.95	Professional		$2,041.74	$2,570.40	$3,019.95