Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,370.32 / $7,943.28	Facility		$2,089.30	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,380.38 / $3,162.28	Professional		$1,148.15	$1,380.38	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,884.03 / $3,630.78	Professional		$1,148.15	$2,884.03	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $4,677.35	Professional		$1,202.26	$2,089.30	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $3,548.13	Facility		$1,230.27	$2,137.96	$3,548.13
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,290.87 / $9,332.54	Professional		$1,258.93	$2,290.87	$9,332.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,884.03 / $3,388.44	Professional		$2,041.74	$2,884.03	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,698.24 / $2,511.89 / $3,467.37	Professional		$1,698.24	$2,511.89	$3,467.37
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $2,511.89 / $3,235.94	Professional		$7.94	$2,511.89	$3,235.94
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 $1,258.93 / $1,778.28 / $3,388.44	Professional		$1,258.93	$1,778.28	$3,388.44
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $2,951.21	Professional		$1,995.26	$2,511.89	$2,951.21