Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $3,981.07 / $6,760.83	Facility		$2,089.30	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,162.28	Professional		$1,122.02	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,818.38 / $3,548.13	Professional		$1,202.26	$2,818.38	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $4,897.79	Professional		$1,174.90	$2,137.96	$4,897.79
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,754.23 / $7,413.10	Facility		$1,288.25	$2,754.23	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $9,772.37	Professional		$1,318.26	$2,344.23	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,467.37	Professional		$2,137.96	$2,818.38	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,511.89 / $3,467.37	Professional		$2,137.96	$2,511.89	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $2,454.71 / $2,951.21	Professional		$10.96	$2,454.71	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $6,309.57 / $9,772.37	Facility		$2,041.74	$6,309.57	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,819.70 / $3,467.37	Professional		$1,258.93	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,884.03	Professional		$1,949.84	$2,454.71	$2,884.03