Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $5,370.32 / $7,943.28	Facility		$1,621.81	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $2,754.23	Professional		$1,000.00	$1,258.93	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $3,162.28	Professional		$2,454.71	$2,570.40	$3,162.28
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,862.09 / $3,981.07	Professional		$1,096.48	$1,862.09	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $2,570.40 / $7,079.46	Facility		$1,905.46	$2,570.40	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,290.87 / $8,511.38	Professional		$1,288.25	$2,290.87	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,715.35	Professional		$2,398.83	$2,570.40	$3,715.35
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $2,951.21	Professional		$2,089.30	$2,884.03	$2,951.21
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,089.30 / $2,691.53	Professional		$7.08	$2,089.30	$2,691.53
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 $1,174.90 / $1,819.70 / $3,467.37	Professional		$1,174.90	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,511.89	Professional		$2,137.96	$2,137.96	$2,511.89