Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $2,630.27	Professional		$1,862.09	$1,862.09	$2,630.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $630.96 / $2,884.03	Professional		$562.34	$630.96	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $2,187.76	Professional		$1,148.15	$1,548.82	$2,187.76
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,630.27 / $5,888.44	Facility		$1,778.28	$2,630.27	$5,888.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,884.03 / $6,606.93	Professional		$2,398.83	$2,884.03	$6,606.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Professional		$2,884.03	$2,884.03	$2,884.03
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $7.08	Professional		$7.08	$7.08	$7.08
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
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,905.46 / $1,905.46	Professional		$1,513.56	$1,905.46	$1,905.46