Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $5,370.32 / $7,943.28	Facility		$1,548.82	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $2,818.38	Professional		$954.99	$1,230.27	$2,818.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $2,951.21	Professional		$2,238.72	$2,398.83	$2,951.21
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,819.70 / $3,981.07	Professional		$1,047.13	$1,819.70	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,398.83 / $7,079.46	Facility		$1,380.38	$2,398.83	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,137.96 / $7,762.47	Professional		$1,202.26	$2,137.96	$7,762.47
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,398.83 / $3,388.44	Professional		$2,137.96	$2,398.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,884.03 / $2,884.03	Professional		$1,737.80	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $1,949.84 / $2,754.23	Professional		$15.14	$1,949.84	$2,754.23
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 $1,122.02 / $1,698.24 / $3,235.94	Professional		$1,122.02	$1,698.24	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Professional		$2,089.30	$2,089.30	$2,454.71