Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,370.32 / $7,943.28	Facility		$1,659.59	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,023.29 / $1,318.26 / $4,677.35	Professional		$1,023.29	$1,318.26	$4,677.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $2,630.27 / $3,235.94	Professional		$2,570.40	$2,630.27	$3,235.94
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,949.84 / $5,754.40	Professional		$1,122.02	$1,949.84	$5,754.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,691.53 / $7,079.46	Facility		$1,659.59	$2,691.53	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,290.87 / $8,511.38	Professional		$1,318.26	$2,290.87	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,691.53 / $4,073.80	Professional		$2,454.71	$2,691.53	$4,073.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,951.21 / $3,019.95	Professional		$2,137.96	$2,951.21	$3,019.95
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,137.96 / $2,754.23	Professional		$6.03	$2,137.96	$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 $1,202.26 / $1,862.09 / $3,548.13	Professional		$1,202.26	$1,862.09	$3,548.13
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,137.96 / $2,570.40	Professional		$2,137.96	$2,137.96	$2,570.40