Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,370.32 / $7,943.28	Facility		$2,238.72	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,479.11 / $3,388.44	Professional		$1,230.27	$1,479.11	$3,388.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $3,019.95 / $3,801.89	Professional		$1,318.26	$3,019.95	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $5,011.87	Professional		$1,258.93	$2,238.72	$5,011.87
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,398.83 / $3,981.07	Facility		$1,348.96	$2,398.83	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,511.89 / $10,000.00	Professional		$1,412.54	$2,511.89	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $3,090.30 / $3,715.35	Professional		$2,344.23	$3,090.30	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,691.53 / $3,715.35	Professional		$2,041.74	$2,691.53	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,630.27 / $3,467.37	Professional		$7.08	$2,630.27	$3,467.37
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 $1,348.96 / $1,905.46 / $3,630.78	Professional		$1,348.96	$1,905.46	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,691.53 / $3,162.28	Professional		$2,089.30	$2,691.53	$3,162.28