Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $4,786.30 / $7,079.46	Facility		$1,737.80	$4,786.30	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $4,365.16	Professional		$933.25	$1,288.25	$4,365.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,454.71 / $3,019.95	Professional		$2,398.83	$2,454.71	$3,019.95
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,905.46 / $5,370.32	Professional		$1,047.13	$1,905.46	$5,370.32
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $3,090.30 / $9,332.54	Facility		$1,737.80	$3,090.30	$9,332.54
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,089.30 / $8,128.31	Professional		$1,230.27	$2,089.30	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $2,454.71 / $3,548.13	Professional		$2,290.87	$2,454.71	$3,548.13
Midlands Facility/Professional Professional Modifier Low / Median / High Price $1,949.84 / $2,818.38 / $2,818.38	Professional		$1,949.84	$2,818.38	$2,818.38
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $1,949.84 / $2,630.27	Professional		$3.02	$1,949.84	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,365.16 / $6,456.54 / $9,332.54	Facility		$4,365.16	$6,456.54	$9,332.54
United Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,737.80 / $3,311.31	Professional		$1,122.02	$1,737.80	$3,311.31
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $2,344.23	Professional		$1,995.26	$1,995.26	$2,344.23