Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.22 / $3,153.69 / $7,119.04	Facility		$1,057.22	$3,153.69	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,043.79 / $1,659.84 / $1,659.84	Professional		$1,043.79	$1,659.84	$1,659.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,478.52 / $2,809.44 / $3,172.88	Professional		$2,478.52	$2,809.44	$3,172.88
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,052.77 / $1,782.45 / $3,092.26	Professional		$1,052.77	$1,782.45	$3,092.26
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,795.19 / $2,805.13 / $6,608.00	Facility		$1,795.19	$2,805.13	$6,608.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.86 / $2,676.67 / $8,455.76	Professional		$1,445.86	$2,676.67	$8,455.76
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,777.51 / $2,479.61 / $3,467.44	Facility		$1,777.51	$2,479.61	$3,467.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,777.51 / $2,479.61 / $3,467.44	Professional		$1,777.51	$2,479.61	$3,467.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.00 / $1,956.90 / $2,813.00	Professional		$7.00	$1,956.90	$2,813.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,126.00 / $5,847.00 / $7,305.00	Facility		$2,126.00	$5,847.00	$7,305.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,271.97 / $2,068.33 / $3,600.56	Professional		$1,271.97	$2,068.33	$3,600.56
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,186.40 / $2,186.40 / $2,572.30	Professional		$2,186.40	$2,186.40	$2,572.30