Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,370.32 / $7,943.28	Facility		$2,630.27	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,778.28 / $3,981.07	Professional		$1,445.44	$1,778.28	$3,981.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $3,548.13 / $4,466.84	Professional		$1,548.82	$3,548.13	$4,466.84
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,754.23 / $6,760.83	Professional		$1,513.56	$2,754.23	$6,760.83
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $2,884.03 / $4,786.30	Facility		$1,584.89	$2,884.03	$4,786.30
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $3,019.95 / $11,748.98	Professional		$1,698.24	$3,019.95	$11,748.98
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,630.78 / $4,365.16	Professional		$2,754.23	$3,630.78	$4,365.16
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,162.28 / $4,365.16	Professional		$2,454.71	$3,162.28	$4,365.16
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $3,311.31 / $4,073.80	Professional		$7.94	$3,311.31	$4,073.80
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 $1,621.81 / $2,290.87 / $4,365.16	Professional		$1,621.81	$2,290.87	$4,365.16
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,162.28 / $3,715.35	Professional		$2,511.89	$3,162.28	$3,715.35