Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,370.32 / $7,943.28	Facility		$2,398.83	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,584.89 / $3,630.78	Professional		$1,288.25	$1,584.89	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $3,235.94 / $4,073.80	Professional		$1,380.38	$3,235.94	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,454.71 / $5,248.07	Professional		$1,348.96	$2,454.71	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $4,168.69	Facility		$1,412.54	$2,511.89	$4,168.69
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $10,471.29	Professional		$1,513.56	$2,630.27	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,311.31 / $3,981.07	Professional		$2,398.83	$3,311.31	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,981.07	Professional		$2,137.96	$2,818.38	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,818.38 / $3,388.44	Professional		$6.03	$2,818.38	$3,388.44
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 $1,445.44 / $2,089.30 / $3,981.07	Professional		$1,445.44	$2,089.30	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,818.38 / $3,311.31	Professional		$2,238.72	$2,818.38	$3,311.31