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 / $1,445.44 / $3,162.28	Professional		$1,174.90	$1,445.44	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $2,951.21 / $3,630.78	Professional		$2,754.23	$2,951.21	$3,630.78
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $2,238.72 / $4,677.35	Professional		$1,258.93	$2,238.72	$4,677.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $2,344.23 / $3,981.07	Facility		$354.81	$2,344.23	$3,981.07
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,479.11 / $2,630.27 / $10,471.29	Professional		$1,479.11	$2,630.27	$10,471.29
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $3,019.95 / $4,168.69	Professional		$2,754.23	$3,019.95	$4,168.69
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,388.44 / $3,388.44	Professional		$2,398.83	$3,388.44	$3,388.44
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,398.83 / $3,162.28	Professional		$6.03	$2,398.83	$3,162.28
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,949.84 / $5,128.61	Facility		$354.81	$1,949.84	$5,128.61
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,089.30 / $4,073.80	Professional		$1,380.38	$2,089.30	$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