Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $6,760.83	Facility		$1,698.24	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,122.02 / $2,344.23	Professional		$933.25	$1,122.02	$2,344.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $2,344.23 / $2,951.21	Professional		$933.25	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,659.59 / $3,801.89	Professional		$933.25	$1,659.59	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,238.72 / $7,943.28	Facility		$1,047.13	$2,238.72	$7,943.28
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $7,585.78	Professional		$1,047.13	$1,905.46	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,754.23	Professional		$1,778.28	$2,344.23	$2,754.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,041.74 / $2,754.23	Professional		$1,584.89	$2,041.74	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $1,995.26 / $2,398.83	Professional		$6.03	$1,995.26	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,309.57 / $8,912.51	Facility		$2,951.21	$6,309.57	$8,912.51
United Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,445.44 / $2,818.38	Professional		$1,023.29	$1,445.44	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,949.84 / $2,344.23	Professional		$1,548.82	$1,949.84	$2,344.23