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 $1,000.00 / $1,230.27 / $2,754.23	Professional		$1,000.00	$1,230.27	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $2,511.89 / $3,090.30	Professional		$1,071.52	$2,511.89	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $5,248.07	Professional		$1,047.13	$1,905.46	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $3,715.35	Facility		$1,122.02	$1,995.26	$3,715.35
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,089.30 / $8,128.31	Professional		$1,174.90	$2,089.30	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,511.89 / $3,019.95	Professional		$1,995.26	$2,511.89	$3,019.95
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,238.72 / $3,090.30	Professional		$1,995.26	$2,238.72	$3,090.30
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,995.26 / $2,691.53	Professional		$1,023.29	$1,995.26	$2,691.53
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 $1,122.02 / $1,584.89 / $3,019.95	Professional		$1,122.02	$1,584.89	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,187.76 / $2,570.40	Professional		$1,737.80	$2,187.76	$2,570.40