Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $7,943.28	Facility		$1,659.59	$5,248.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,230.27 / $4,168.69	Professional		$912.01	$1,230.27	$4,168.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,344.23 / $2,884.03	Professional		$2,238.72	$2,344.23	$2,884.03
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,819.70 / $5,370.32	Professional		$1,000.00	$1,819.70	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $9,549.93	Facility		$1,862.09	$3,801.89	$9,549.93
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,041.74 / $8,912.51	Professional		$1,174.90	$2,041.74	$8,912.51
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,187.76 / $2,398.83 / $3,388.44	Professional		$2,187.76	$2,398.83	$3,388.44
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,691.53 / $2,691.53	Professional		$1,905.46	$2,691.53	$2,691.53
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,905.46 / $2,511.89	Professional		$3.02	$1,905.46	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $7,762.47 / $10,715.19	Facility		$4,786.30	$7,762.47	$10,715.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,659.59 / $3,162.28	Professional		$1,071.52	$1,659.59	$3,162.28
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $2,238.72	Professional		$1,905.46	$1,905.46	$2,238.72