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 $1,047.13 / $1,288.25 / $2,884.03	Professional		$1,047.13	$1,288.25	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,570.40 / $3,235.94	Professional		$1,071.52	$2,570.40	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,995.26 / $4,265.80	Professional		$1,096.48	$1,995.26	$4,265.80
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,041.74 / $3,388.44	Facility		$1,148.15	$2,041.74	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $8,511.38	Professional		$1,202.26	$2,137.96	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,630.27 / $3,162.28	Professional		$1,949.84	$2,630.27	$3,162.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,290.87 / $3,162.28	Professional		$1,584.89	$2,290.87	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,398.83 / $2,951.21	Professional		$7.08	$2,398.83	$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 $1,174.90 / $1,659.59 / $3,162.28	Professional		$1,174.90	$1,659.59	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,290.87 / $2,691.53	Professional		$1,819.70	$2,290.87	$2,691.53