Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $5,370.32 / $7,943.28	Facility		$2,454.71	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,659.59 / $3,715.35	Professional		$1,348.96	$1,659.59	$3,715.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,311.31 / $4,168.69	Professional		$1,412.54	$3,311.31	$4,168.69
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,570.40 / $5,623.41	Professional		$1,412.54	$2,570.40	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,235.94 / $9,772.37	Facility		$1,513.56	$3,235.94	$9,772.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,754.23 / $10,964.78	Professional		$1,584.89	$2,754.23	$10,964.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $3,388.44 / $4,073.80	Professional		$2,630.27	$3,388.44	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $4,073.80	Professional		$2,137.96	$3,019.95	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $3,019.95 / $3,801.89	Professional		$15.14	$3,019.95	$3,801.89
United Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $8,709.64 / $14,454.40	Facility		$3,235.94	$8,709.64	$14,454.40
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $4,073.80	Professional		$1,513.56	$2,137.96	$4,073.80
Wellmark 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