Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $7,943.28	Facility		$1,584.89	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $2,691.53	Professional		$1,000.00	$1,230.27	$2,691.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,344.23 / $2,454.71 / $3,019.95	Professional		$2,344.23	$2,454.71	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,862.09 / $3,890.45	Professional		$1,047.13	$1,862.09	$3,890.45
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,511.89 / $7,079.46	Facility		$1,659.59	$2,511.89	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $7,943.28	Professional		$1,230.27	$2,089.30	$7,943.28
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,398.83 / $3,467.37	Professional		$2,290.87	$2,398.83	$3,467.37
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $2,884.03	Professional		$1,995.26	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,041.74 / $2,754.23	Professional		$6.03	$2,041.74	$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 $1,122.02 / $1,698.24 / $3,311.31	Professional		$1,122.02	$1,698.24	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Professional		$2,089.30	$2,089.30	$2,454.71