Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,235.94 / $6,760.83	Facility		$1,659.59	$3,235.94	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $2,511.89	Professional		$891.25	$1,096.48	$2,511.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $2,290.87 / $2,818.38	Professional		$977.24	$2,290.87	$2,818.38
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,659.59 / $3,630.78	Professional		$954.99	$1,659.59	$3,630.78
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,187.76 / $7,079.46	Facility		$1,047.13	$2,187.76	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $7,413.10	Professional		$1,047.13	$1,862.09	$7,413.10
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,290.87 / $2,754.23	Professional		$1,698.24	$2,290.87	$2,754.23
Midlands Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Facility		$3,467.37	$3,467.37	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,995.26 / $2,754.23	Professional		$1,513.56	$1,995.26	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,089.30 / $2,570.40	Professional		$7.08	$2,089.30	$2,570.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,025.60 / $8,511.38	Facility		$2,951.21	$6,025.60	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,445.44 / $2,754.23	Professional		$1,000.00	$1,445.44	$2,754.23
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,995.26 / $2,344.23	Professional		$1,584.89	$1,995.26	$2,344.23