Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $5,370.32 / $7,943.28	Facility		$1,819.70	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,348.96 / $2,754.23	Professional		$954.99	$1,348.96	$2,754.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,090.30	Professional		$2,398.83	$2,570.40	$3,090.30
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,949.84 / $4,365.16	Professional		$1,096.48	$1,949.84	$4,365.16
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $2,570.40 / $7,079.46	Facility		$1,513.56	$2,570.40	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $2,187.76 / $8,128.31	Professional		$1,288.25	$2,187.76	$8,128.31
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $2,570.40 / $3,630.78	Professional		$2,398.83	$2,570.40	$3,630.78
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,884.03 / $2,884.03	Professional		$2,089.30	$2,884.03	$2,884.03
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,041.74 / $2,691.53	Professional		$6.03	$2,041.74	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,248.07 / $7,413.10	Facility		$2,137.96	$5,248.07	$7,413.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,819.70 / $3,467.37	Professional		$1,174.90	$1,819.70	$3,467.37
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,454.71	Professional		$2,089.30	$2,089.30	$2,454.71