Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $5,370.32 / $7,943.28	Facility		$1,513.56	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,174.90 / $2,570.40	Professional		$954.99	$1,174.90	$2,570.40
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 $1,023.29 / $1,778.28 / $3,801.89	Professional		$1,023.29	$1,778.28	$3,801.89
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,398.83 / $7,079.46	Facility		$1,621.81	$2,398.83	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $2,089.30 / $7,585.78	Professional		$1,202.26	$2,089.30	$7,585.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,398.83 / $3,388.44	Professional		$2,238.72	$2,398.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,754.23 / $2,754.23	Professional		$1,949.84	$2,754.23	$2,754.23
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,949.84 / $2,570.40	Professional		$7.08	$1,949.84	$2,570.40
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 $1,096.48 / $1,698.24 / $3,235.94	Professional		$1,096.48	$1,698.24	$3,235.94
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23