Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $5,370.32 / $7,943.28	Facility		$1,905.46	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,258.93 / $2,818.38	Professional		$1,023.29	$1,258.93	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $2,570.40 / $3,162.28	Professional		$1,096.48	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $4,168.69	Professional		$1,071.52	$1,949.84	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,041.74 / $3,388.44	Facility		$1,122.02	$2,041.74	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $8,317.64	Professional		$1,202.26	$2,089.30	$8,317.64
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,570.40 / $3,090.30	Professional		$1,949.84	$2,570.40	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,238.72 / $3,162.28	Professional		$1,698.24	$2,238.72	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,238.72 / $2,951.21	Professional		$7.08	$2,238.72	$2,951.21
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 $1,148.15 / $1,621.81 / $3,090.30	Professional		$1,148.15	$1,621.81	$3,090.30
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $2,238.72 / $2,630.27	Professional		$1,778.28	$2,238.72	$2,630.27