Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $5,370.32 / $7,943.28	Facility		$1,737.80	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,348.96 / $2,951.21	Professional		$1,096.48	$1,348.96	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,754.23 / $3,388.44	Professional		$2,630.27	$2,754.23	$3,388.44
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $4,365.16	Professional		$1,174.90	$2,041.74	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,754.23 / $7,079.46	Facility		$1,905.46	$2,754.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,454.71 / $9,120.11	Professional		$1,380.38	$2,454.71	$9,120.11
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,754.23 / $3,981.07	Professional		$2,570.40	$2,754.23	$3,981.07
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $3,162.28 / $3,162.28	Professional		$2,238.72	$3,162.28	$3,162.28
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,238.72 / $2,951.21	Professional		$7.08	$2,238.72	$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 $1,258.93 / $1,995.26 / $3,715.35	Professional		$1,258.93	$1,995.26	$3,715.35
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,290.87 / $2,691.53	Professional		$2,290.87	$2,290.87	$2,691.53