Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,370.32 / $7,943.28	Facility		$2,137.96	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,445.44 / $3,162.28	Professional		$1,202.26	$1,445.44	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,818.38 / $3,548.13	Professional		$1,258.93	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,238.72 / $4,897.79	Professional		$1,174.90	$2,238.72	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,511.89 / $4,897.79	Facility		$1,318.26	$2,511.89	$4,897.79
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $9,549.93	Professional		$1,412.54	$2,454.71	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,019.95 / $3,548.13	Professional		$2,630.27	$3,019.95	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,630.27 / $3,548.13	Professional		$2,238.72	$2,630.27	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $2,570.40 / $3,311.31	Professional		$12.02	$2,570.40	$3,311.31
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 $1,380.38 / $2,089.30 / $3,715.35	Professional		$1,380.38	$2,089.30	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,951.21	Professional		$1,995.26	$2,511.89	$2,951.21