Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $3,090.30	Professional		$1,023.29	$1,258.93	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $2,570.40 / $3,235.94	Professional		$1,047.13	$2,570.40	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,905.46 / $3,388.44	Professional		$1,071.52	$1,905.46	$3,388.44
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $3,388.44	Facility		$1,096.48	$1,995.26	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $8,511.38	Professional		$1,174.90	$2,041.74	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,570.40 / $3,019.95	Professional		$1,862.09	$2,570.40	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,238.72 / $3,019.95	Professional		$1,548.82	$2,238.72	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $2,884.03	Professional		$1,288.25	$2,290.87	$2,884.03
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 $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,290.87 / $2,691.53	Professional		$1,778.28	$2,290.87	$2,691.53