Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $5,370.32 / $7,943.28	Facility		$1,380.38	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $2,344.23	Professional		$870.96	$1,096.48	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,691.53	Professional		$2,089.30	$2,238.72	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,621.81 / $3,467.37	Professional		$933.25	$1,621.81	$3,467.37
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,344.23 / $7,079.46	Facility		$1,479.11	$2,344.23	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $7,079.46	Professional		$1,122.02	$1,949.84	$7,079.46
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,238.72 / $3,090.30	Professional		$2,041.74	$2,238.72	$3,090.30
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $2,570.40 / $2,570.40	Professional		$1,819.70	$2,570.40	$2,570.40
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $1,819.70 / $2,398.83	Professional		$7.08	$1,819.70	$2,398.83
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 $1,023.29 / $1,548.82 / $3,019.95	Professional		$1,023.29	$1,548.82	$3,019.95
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $2,137.96	Professional		$1,819.70	$1,819.70	$2,137.96