Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,380.38 / $3,019.95	Professional		$1,096.48	$1,380.38	$3,019.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,818.38 / $3,467.37	Professional		$2,630.27	$2,818.38	$3,467.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,041.74 / $4,365.16	Professional		$1,202.26	$2,041.74	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $7,079.46	Facility		$1,778.28	$2,818.38	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,454.71 / $9,549.93	Professional		$1,412.54	$2,454.71	$9,549.93
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,818.38 / $3,715.35	Professional		$2,454.71	$2,818.38	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,162.28 / $3,235.94	Professional		$2,290.87	$3,162.28	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,290.87 / $2,951.21	Professional		$7.08	$2,290.87	$2,951.21
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 $1,288.25 / $1,949.84 / $3,801.89	Professional		$1,288.25	$1,949.84	$3,801.89
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Professional		$2,344.23	$2,344.23	$2,754.23