Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $7,943.28	Facility		$2,398.83	$5,128.61	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,584.89 / $3,630.78	Professional		$1,318.26	$1,584.89	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $3,235.94 / $4,073.80	Professional		$1,412.54	$3,235.94	$4,073.80
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $5,128.61	Professional		$1,348.96	$2,398.83	$5,128.61
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,630.27 / $4,570.88	Facility		$1,445.44	$2,630.27	$4,570.88
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $10,715.19	Professional		$1,548.82	$2,691.53	$10,715.19
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,311.31 / $3,981.07	Professional		$2,570.40	$3,311.31	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $3,981.07	Professional		$1,949.84	$2,818.38	$3,981.07
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $3,548.13	Professional		$1,318.26	$2,754.23	$3,548.13
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 $1,479.11 / $2,089.30 / $3,981.07	Professional		$1,479.11	$2,089.30	$3,981.07
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,884.03 / $3,388.44	Professional		$2,290.87	$2,884.03	$3,388.44