Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $7,943.28	Facility		$1,737.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,818.38	Professional		$954.99	$1,174.90	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,344.23 / $2,884.03	Professional		$1,000.00	$2,344.23	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,819.70 / $3,981.07	Professional		$977.24	$1,819.70	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $3,388.44	Facility		$1,047.13	$1,905.46	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $7,585.78	Professional		$1,122.02	$1,949.84	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,398.83 / $2,818.38	Professional		$1,949.84	$2,398.83	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,089.30 / $2,884.03	Professional		$1,698.24	$2,089.30	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,089.30 / $2,630.27	Professional		$6.03	$2,089.30	$2,630.27
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 $1,047.13 / $1,513.56 / $2,884.03	Professional		$1,047.13	$1,513.56	$2,884.03
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,398.83	Professional		$1,621.81	$2,041.74	$2,398.83