Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $7,943.28	Facility		$1,737.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,148.15 / $2,630.27	Professional		$933.25	$1,148.15	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,344.23 / $2,951.21	Professional		$1,000.00	$2,344.23	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,778.28 / $3,890.45	Professional		$977.24	$1,778.28	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $3,388.44	Facility		$1,047.13	$1,905.46	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $7,762.47	Professional		$1,096.48	$1,949.84	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,344.23 / $2,818.38	Professional		$1,778.28	$2,344.23	$2,818.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,041.74 / $2,884.03	Professional		$1,659.59	$2,041.74	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,137.96 / $2,691.53	Professional		$1,513.56	$2,137.96	$2,691.53
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 $1,047.13 / $1,479.11 / $2,818.38	Professional		$1,047.13	$1,479.11	$2,818.38
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $2,041.74 / $2,398.83	Professional		$1,621.81	$2,041.74	$2,398.83