Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,174.90 / $2,691.53	Professional		$977.24	$1,174.90	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $2,398.83 / $3,019.95	Professional		$1,000.00	$2,398.83	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,862.09 / $3,981.07	Professional		$1,000.00	$1,862.09	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,949.84 / $3,388.44	Facility		$1,071.52	$1,949.84	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $7,943.28	Professional		$1,122.02	$1,995.26	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,454.71 / $2,951.21	Professional		$1,819.70	$2,454.71	$2,951.21
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,137.96 / $2,951.21	Professional		$1,479.11	$2,137.96	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,089.30 / $2,818.38	Professional		$7.08	$2,089.30	$2,818.38
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 $1,096.48 / $1,548.82 / $2,951.21	Professional		$1,096.48	$1,548.82	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,137.96 / $2,511.89	Professional		$1,698.24	$2,137.96	$2,511.89