Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,659.59 / $6,760.83	Facility		$954.99	$1,659.59	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,288.25 / $2,818.38	Professional		$1,047.13	$1,288.25	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,630.27 / $3,235.94	Professional		$2,454.71	$2,630.27	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,995.26 / $4,168.69	Professional		$1,122.02	$1,995.26	$4,168.69
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,691.53 / $7,079.46	Facility		$1,778.28	$2,691.53	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $8,511.38	Professional		$1,318.26	$2,344.23	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $3,715.35	Professional		$2,454.71	$2,691.53	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $3,019.95 / $3,019.95	Professional		$2,137.96	$3,019.95	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,137.96 / $2,818.38	Professional		$7.08	$2,137.96	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,862.09 / $3,630.78	Professional		$1,230.27	$1,862.09	$3,630.78
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,570.40	Professional		$2,187.76	$2,187.76	$2,570.40