Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,370.32 / $7,943.28	Facility		$1,778.28	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $3,090.30	Professional		$1,122.02	$1,412.54	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,884.03 / $3,548.13	Professional		$2,691.53	$2,884.03	$3,548.13
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,137.96 / $4,466.84	Professional		$1,230.27	$2,137.96	$4,466.84
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $7,079.46	Facility		$1,949.84	$2,884.03	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $2,511.89 / $9,772.37	Professional		$1,445.44	$2,511.89	$9,772.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,884.03 / $3,890.45	Professional		$2,630.27	$2,884.03	$3,890.45
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,235.94 / $3,235.94	Professional		$2,290.87	$3,235.94	$3,235.94
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $2,290.87 / $3,019.95	Professional		$7.08	$2,290.87	$3,019.95
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 $1,318.26 / $1,995.26 / $3,890.45	Professional		$1,318.26	$1,995.26	$3,890.45
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,344.23 / $2,754.23	Professional		$2,344.23	$2,344.23	$2,754.23