Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,370.32 / $7,943.28	Facility		$2,187.76	$5,370.32	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,698.24 / $3,162.28	Professional		$1,202.26	$1,698.24	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $3,090.30 / $3,801.89	Professional		$2,951.21	$3,090.30	$3,801.89
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $2,344.23 / $5,248.07	Professional		$1,318.26	$2,344.23	$5,248.07
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,090.30 / $7,079.46	Facility		$1,819.70	$3,090.30	$7,079.46
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $2,691.53 / $10,000.00	Professional		$1,548.82	$2,691.53	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,884.03 / $3,090.30 / $4,466.84	Professional		$2,884.03	$3,090.30	$4,466.84
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $3,548.13 / $3,548.13	Professional		$2,511.89	$3,548.13	$3,548.13
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $2,691.53 / $3,311.31	Professional		$6.03	$2,691.53	$3,311.31
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 $1,412.54 / $2,187.76 / $4,265.80	Professional		$1,412.54	$2,187.76	$4,265.80
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,511.89 / $2,951.21	Professional		$2,511.89	$2,511.89	$2,951.21