Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,218.00 / $3,576.15 / $7,119.04	Facility		$2,218.00	$3,576.15	$7,119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.49 / $1,651.63 / $1,651.63	Professional		$1,025.49	$1,651.63	$1,651.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,274.37 / $2,732.39 / $3,117.37	Professional		$2,274.37	$2,732.39	$3,117.37
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.84 / $1,697.19 / $2,792.97	Professional		$1,075.84	$1,697.19	$2,792.97
Medica Facility/Professional Facility Modifier Low / Median / High Price $357.64 / $2,367.76 / $3,915.00	Facility		$357.64	$2,367.76	$3,915.00
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,357.55 / $2,630.00 / $8,389.36	Professional		$1,357.55	$2,630.00	$8,389.36
Midlands Facility/Professional Facility Modifier Low / Median / High Price $1,605.71 / $2,429.82 / $3,386.51	Facility		$1,605.71	$2,429.82	$3,386.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,644.00 / $2,429.82 / $3,352.03	Professional		$1,644.00	$2,429.82	$3,352.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $1,782.10 / $2,926.20	Professional		$6.00	$1,782.10	$2,926.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,611.00 / $3,902.18 / $5,454.00	Facility		$1,611.00	$3,902.18	$5,454.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,257.73 / $2,481.25 / $3,542.68	Professional		$1,257.73	$2,481.25	$3,542.68
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,251.30 / $2,251.30 / $2,648.50	Professional		$2,251.30	$2,251.30	$2,648.50