Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,370.32 / $7,943.28	Facility		$2,570.40	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,698.24 / $3,801.89	Professional		$1,412.54	$1,698.24	$3,801.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,467.37 / $4,365.16	Professional		$1,412.54	$3,467.37	$4,365.16
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $5,754.40	Professional		$1,412.54	$2,630.27	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,818.38 / $4,677.35	Facility		$1,548.82	$2,818.38	$4,677.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,951.21 / $11,481.54	Professional		$1,621.81	$2,951.21	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,630.78 / $4,073.80	Professional		$2,818.38	$3,630.78	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,073.80	Professional		$2,454.71	$3,162.28	$4,073.80
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $3,019.95 / $3,801.89	Professional		$7.08	$3,019.95	$3,801.89
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 $1,584.89 / $2,238.72 / $4,265.80	Professional		$1,584.89	$2,238.72	$4,265.80
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