Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $3,090.30	Professional		$1,122.02	$1,380.38	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,754.23 / $3,467.37	Professional		$1,202.26	$2,754.23	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,137.96 / $4,570.88	Professional		$1,174.90	$2,137.96	$4,570.88
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $3,890.45	Facility		$1,258.93	$2,238.72	$3,890.45
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $9,120.11	Professional		$1,318.26	$2,344.23	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,818.38 / $3,388.44	Professional		$2,137.96	$2,818.38	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $3,467.37	Professional		$1,862.09	$2,454.71	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,454.71 / $3,235.94	Professional		$7.08	$2,454.71	$3,235.94
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 $1,258.93 / $1,778.28 / $3,388.44	Professional		$1,258.93	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,454.71 / $2,884.03	Professional		$1,949.84	$2,454.71	$2,884.03