Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,981.07 / $6,760.83	Facility		$1,513.56	$3,981.07	$6,760.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $2,344.23	Professional		$812.83	$1,148.15	$2,344.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,137.96 / $2,187.76 / $2,691.53	Professional		$2,137.96	$2,187.76	$2,691.53
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,737.80 / $3,981.07	Professional		$933.25	$1,737.80	$3,981.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $2,691.53 / $7,413.10	Facility		$1,621.81	$2,691.53	$7,413.10
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $8,511.38	Professional		$1,071.52	$1,862.09	$8,511.38
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $2,187.76 / $3,235.94	Professional		$2,041.74	$2,187.76	$3,235.94
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,454.71 / $2,454.71	Professional		$1,862.09	$2,454.71	$2,454.71
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,905.46 / $2,290.87	Professional		$3.02	$1,905.46	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $6,309.57 / $9,772.37	Facility		$3,715.35	$6,309.57	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,513.56 / $2,951.21	Professional		$1,000.00	$1,513.56	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $2,089.30	Professional		$1,778.28	$1,778.28	$2,089.30