Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $5,370.32 / $7,943.28	Facility		$1,862.09	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,479.11 / $3,235.94	Professional		$1,174.90	$1,479.11	$3,235.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $3,630.78	Professional		$2,818.38	$3,019.95	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,238.72 / $4,677.35	Professional		$1,288.25	$2,238.72	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,951.21 / $7,079.46	Facility		$1,949.84	$2,951.21	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,630.27 / $15,135.61	Professional		$1,513.56	$2,630.27	$15,135.61
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,818.38 / $3,019.95 / $4,265.80	Professional		$2,818.38	$3,019.95	$4,265.80
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $3,388.44 / $3,388.44	Professional		$2,454.71	$3,388.44	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,454.71 / $3,162.28	Professional		$6.03	$2,454.71	$3,162.28
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 $1,380.38 / $2,137.96 / $4,073.80	Professional		$1,380.38	$2,137.96	$4,073.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,884.03	Professional		$2,454.71	$2,454.71	$2,884.03