Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,981.07 / $6,760.83	Facility		$2,344.23	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,737.80 / $3,548.13	Professional		$1,230.27	$1,737.80	$3,548.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,235.94 / $3,311.31 / $3,981.07	Professional		$3,235.94	$3,311.31	$3,981.07
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,630.27 / $6,918.31	Professional		$1,412.54	$2,630.27	$6,918.31
Medica Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $13,803.84	Facility		$2,630.27	$4,786.30	$13,803.84
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,818.38 / $11,481.54	Professional		$1,659.59	$2,818.38	$11,481.54
Midlands Facility/Professional Professional Modifier Low / Median / High Price $3,090.30 / $3,311.31 / $5,011.87	Professional		$3,090.30	$3,311.31	$5,011.87
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,715.35 / $3,715.35	Professional		$2,691.53	$3,715.35	$3,715.35
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $2,630.27 / $3,467.37	Professional		$3.02	$2,630.27	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $10,000.00 / $14,125.38	Facility		$7,079.46	$10,000.00	$14,125.38
United Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $2,344.23 / $4,466.84	Professional		$1,513.56	$2,344.23	$4,466.84
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $2,691.53 / $3,162.28	Professional		$2,691.53	$2,691.53	$3,162.28