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 $1,174.90 / $1,412.54 / $3,235.94	Professional		$1,174.90	$1,412.54	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,884.03 / $3,548.13	Professional		$1,288.25	$2,884.03	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,238.72 / $4,897.79	Professional		$1,202.26	$2,238.72	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $3,890.45	Facility		$1,318.26	$2,344.23	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $9,549.93	Professional		$1,348.96	$2,398.83	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,951.21 / $3,467.37	Professional		$2,344.23	$2,951.21	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,691.53 / $3,548.13	Professional		$1,995.26	$2,691.53	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $2,691.53 / $3,311.31	Professional		$15.14	$2,691.53	$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 $1,318.26 / $1,862.09 / $3,548.13	Professional		$1,318.26	$1,862.09	$3,548.13
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