Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $5,370.32 / $7,943.28	Facility		$1,949.84	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $2,951.21	Professional		$1,071.52	$1,288.25	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $3,311.31	Professional		$1,148.15	$2,630.27	$3,311.31
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $5,623.41	Professional		$1,122.02	$2,041.74	$5,623.41
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $3,467.37	Facility		$1,202.26	$2,137.96	$3,467.37
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,187.76 / $8,709.64	Professional		$1,258.93	$2,187.76	$8,709.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,235.94	Professional		$2,041.74	$2,691.53	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,344.23 / $3,235.94	Professional		$1,737.80	$2,344.23	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,290.87 / $3,019.95	Professional		$7.08	$2,290.87	$3,019.95
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 $1,174.90 / $1,698.24 / $3,235.94	Professional		$1,174.90	$1,698.24	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,344.23 / $2,754.23	Professional		$1,862.09	$2,344.23	$2,754.23